HealthPlus offers a
product, that will support a subscriber’s healthcare needs, regardless of where they live, work or travel.
Benefit packages cover:
- Medicare Part A (hospital)
Medicare Part B (medical/outpatient hospital and additional preventive care)
- Medicare Part D (outpatient prescription drugs)
Access to a limited out of network benefit (Point of Service plans, only)
*Enhanced HMO plans provide additional supplemental benefits, such as limited hearing aids and preventative dental
The MedicarePlus Advantage
HMO Benefit Level Summary
outlines benefits and member co-pay amounts.
All MedicarePlus HMO members are issued a HealthPlus MedicarePlus HMO Member Identification Card
MedicarePlus HMO is a Medicare Advantage plan (also referred to as Part C), it offers members:
A primary care physician (PCP) who will coordinate all health care needs
- Coverage for preventive and routine medical
- Speciality care (referrals may be required)
Lab services (
- Dental (not covered by all plans)
- Vision (not covered by all plans)
(available for Option 1 and Option 2 plans, only)
Ask for 90 Rx
allows a 90 day supply, to save time and money on maintenance prescription drugs.
- Worldwide emergency services coverage
offered by HealthPlus and associated providers.
HealthPlus Disease Management
programs for management of asthma, COPD, diabetes, and heart disease.
Medical Case Management
, programs for members who are seriously ill or have complex medical needs.
Discounts for membership in designated fitness clubs, weight loss programs and other programs through the
HealthPlus Perks Program
If specialty care is needed, the PCP will refer the member to the appropriate in-plan physician or appropriate medical professional. Referrals are not necessary for routine gynecological and obstetric care.
Copays and Coinsurance
Copays and coinsurance may apply and are dependent upon the benefit plan selected by the member. A copay is a fixed dollar amount that a member must pay for certain covered services at the time of visit. Coinsurance is a percentage of the cost of covered services that a member will pay after a deductible, if any, has been met.
For questions related to a MedicarePlus HMO member, please contact HealthPlus Customer Service at (800) 332-9161 and ask to speak with MedicarePlus Advantage Services.