![]() The formulary, pharmacy network, and/or provider network may change at any time. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. Plan performance Medicare Star Ratings are assessed each year and may change from one year to the next. Limitations, copayments, and restrictions may apply. Call 1-88 (TTY 711) for more information. This information is not a complete description of benefits. Call 1-88 (TTY 711).ĪTENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. ĪTTENTION: If you speak English, language assistance services, free of charge, are available to you. Medicare beneficiaries may also enroll in Clover Health through the CMS Medicare Online Enrollment Center located at. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For plans that provide drug coverage, the formulary may change during the year. Out-of-network/non-contracted providers are under no obligation to treat Clover members, except in emergency situations. You must continue to pay your Medicare Part B premium. Enrollment in Clover Health depends on contract renewal. If you still have Medicare questions, please give us a call or visit to learn more.*We are open from 8 am–8 pm local time, 7 days a week. From April 1st through September 30th, alternate technologies (for example, voicemail) will be used on the weekends and holidays.Ĭlover Health is a Preferred Provider Organization (PPO) and a Health Maintenance Organization (HMO) with a Medicare contract. And, if necessary, these visits can give you and your doctor the opportunity to set up long-term treatment plans. They’re a good time to catch emerging health issues early. It also includes testing for cognitive impairment, education about additional preventive services and developing a personalized prevention plan. This wellness visit involves some of the same preventive screenings as the “Welcome to Medicare” visit. This visit is free of charge if you’ve had Medicare Part B for longer than 12 months and you haven’t had a “Welcome to Medicare” or annual wellness visit within the past 12 months. In the years that follow your Welcome to Medicare visit, you’re eligible for an Annual Wellness Visit. And it enables us to direct you to the health programs and services you need. Instead, it helps us work with your primary care physician to manage your care. This program doesn’t replace your relationship with your personal doctor. These visits are also available virtually. These visits can include discussions about your health, a non-invasive physical exam, medication review and discussions about health resources. This program allows a licensed Nurse Practitioner or board-certified physician to visit you in your own home. It ensures you’re up to date with necessary screenings, shots and other preventive services.Īnother program available at no cost to you is an annual Healthy Home Visit (HHV). It includes a review of your medical and social history, a brief checkup and medication review. ![]() This visit will help establish your baseline health and can help catch health problems early. In your first 12 months of having Medicare Part B, you’re eligible for a one-time “Welcome to Medicare” visit with a doctor. Here are a few important things that will help you get started. Now that you have an Aetna® Medicare Advantage plan, it’s important you understand how to access the care and services you need. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |