Get Your Medical and Pharmacy Coverage In One HealthPlus Plan
With the new MedicarePlus Advantage HMO and PPO plans, you get benefits like preventive care, routine medical and specialty care, Part D Prescription Coverage, worldwide emergency coverage . . . even basic dental coverage on some plans!
The HealthPlus MedicarePlus Plan is a Medicare Advantage-Prescription Drug plan with a Medicare Contract. (50.1.1)
MedicarePlus AdvantageHMO (with drugs)
This plan may be for you if you like having your primary care doctor serve as your health advocate, coordinating all of your medical care. Medicare has approved the HealthPlus MedicarePlus AdvantageHMO for membership beginning Jan. 1, 2010 through Dec. 31, 2010. AdvantageHMO is available in Arenac, Bay, Genesee, Lapeer, Oakland, Saginaw, Shiawassee, St. Clair and Tuscola counties.
MedicarePlus AdvantagePPO (with drugs)
This plan may be for you if you like having the freedom and choice to see any doctor in- or out-of-HealthPlus' preferred provider network. Medicare has approved the HealthPlus MedicarePlus AdvantagePPO for membership beginning Jan. 1, 2010 through Dec. 31, 2010. Advantage PPO is available in Genesee and Saginaw counties.
Compare MedicareAdvantage Plans [Material ID# H2354_A4009]
Who Is Eligible To Join A HealthPlus MedicarePlus Advantage Plan? (50.5.6)
You can join a HealthPlus MedicarePlus AdvantagePPO if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the plan service area. However, individuals with End Stage Renal Disease are not eligible to enroll in a HealthPlus MedicarePlus Advantage plan unless they are members of our organization and have been since their dialysis began.
When Can You Enroll? (50.5.2)
You can join, switch, or drop a Medicare drug plan at these times:
- When you are first eligible for Medicare (beginning 3 months before the month you turn 65 and ending 3 months after the month you turn age 65).
- If you get Medicare due to a disability, you can join during the 3 months before to 3 months after your 25th month of disability. You will have another chance to join 3 months before the month you turn age 65 to 3 months after the month you turn age 65.
- Between November 15–December 31 of each year. Your coverage will begin on January 1 of the following year, as long as the plan gets your enrollment request by December 31.
- Between January 1–March 31 of each year if you already have Medicare prescription drug coverage.
- Anytime, if you qualify for Extra Help or if you have both Medicare and Medicaid.
In most cases, you must stay enrolled for that calendar year starting the date your coverage begins. However, in certain situations, you may be able to join, switch, or drop Medicare drug plans during a special enrollment period (like if you move out of the service area, lose other creditable prescription drug coverage, or live in an institution).
Getting Help To Pay For Your Prescription Drug Premiums and Costs (50.5.7)
If you qualify for Extra Help with your Medicare prescription drug plan costs, your premium and costs at the pharmacy will be lower. When you join a HealthPlus MedicarePlus Advantage plan, Medicare will tell us how much extra help you are getting. Then we will let you know the amount you will pay. To see if you qualify for Extra Help, call:
- 1-800-MEDICARE (1-800-633-4227), TTY users should call
1-877-486-2048, 24 hours a day/7 days a week
- The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778
- Michigan State Medicaid Office (Michigan Enrolls) at 1-800-367-6557. TTY users should call 1-888-263-5897
11/2/09
H2354_WEB1009 [CMS Approved 1/25/2010]
H1595_WEB1009 [CMS Approved 1/25/2010]
