HAP Senior Plus is a Medicare Advantage plan, from Health Alliance Plan of Michigan (HAP), that's available to beneficiaries living in Midland County, Michigan. If you only want plans with prescription drug coverage, browse Prescription Drug (Part D) Plans. This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $4,800 out of pocket. Enrollment in Senior Care Plus depends on contract renewal. I got this employer supported plan through my work and even with his 50% co-pay, I am still more … ?8 ??? Plan Services are 2019 information as reference. This information is not a complete description of benefits. For additional information about this plan(s), please contact. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. These plans' prescription drug component helps cover medications. Mon-Sat 8am-11pm EST You may receive only one reward per type of service each year. This is a 4-star Medicare Advantage plan. HAP MEMBER ID FULL NAME STREET ADDRESS CITY STATE ZIP CODE PHONE NUMBER DATE OF BIRTH EMAIL (OPTIONAL) IMPORTANT: You must be a HAP Senior Plus member to participate. cost that you must pay before receiving the drug. ?2 ?14 ?? / ?8 ??? Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. ???????????????????????? This information is available for free in other formats and languages. It's a Health Maintenance Organization (HMO) health plan. HAP Senior Plus (HMO) has a monthly drug premium of $0.00 and a $0.00 drug deductible. For additional information about this plan(s), please contact. 159. For additional information about this plan(s), please contact, U.S. News does not have a relationship with, or receive remuneration from Blue Care Network. If this is the case, you need to talk to your landlord as they need to agree to the terms and conditions of the HAP scheme. A Private Fee-for-Service plan is not Medicare supplement insurance. www.opm.gov. 63103. HAP Senior Plus HMO MA000150 / XS000120 QR-34891 Health Care Services In-Network Coverage Limitations STATE OF MICHIGAN - FULL HMO NETWORK (MAPD) Emergency/Urgent Care: Emergency Room Services $65 Copay - Applies to the deductible Copay will be waived if … Learn More About Medicare Part C (Medicare Advantage) in Michigan. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. If you need help, please call 1-855-814-4289 (TTY User: 711) Mon - Fri, 8am - 9pm Sat, 10am - 7pm ET for Customer Service Representatives and licensed insurance agents who can assist with finding information on available Medicare Advantage, Medicare Supplement Insurance and Prescription Drug Plans. UnitedHealthcare The Villages MedicareComplete is insured through UnitedHealthcare Insurance Company or one of its affiliated companies (UnitedHealthcare), a Medicare Advantage organization with a Medicare contract. Midland, Macomb, Livingston, Isabella, Ingham, Genesee, Ionia, Eaton, Arenac, Clinton, Bay, Clare. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. You generally are also responsible for paying the Part B premium. UnitedHealthcare pays royalty fees to Holding Company of The Villages, Inc. (The Villages) for the use of its intellectual property. ?8 ??????? This plan includes additional Medicare prescription drug (Part-D) coverage. Call 1-877-349-9324 (TTY: 711). The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. Each tier will have a defined out-of-pocket ?9 ?30 ?? ?8 ??? Enrollment in the plan depends on the plan’s contract renewal with Medicare. Call 1-877-349-9324 (TTY: 711) for more information. For additional information about this plan(s), please contact, U.S. News does not have a relationship with, or receive remuneration from PHP Medicare. The HAP Senior Plus (HMO) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $4,800 (MOOP). hap senior plus prior authorization forms. 23037. Medicare Advantage plans are an alternative way to get your Original Medicare. Discrimination is against the law. This information is not a complete description of benefits. Please call our customer service number at 1-800-555-5757, TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week. Comuníquese con nuestro Servicio al Cliente al número 1-800-555-5757, TTY 711, de 8 a.m. a 8 p.m. hora local, los 7 días de la semana. For each saved session, we calculate the cost of each plan based on the medication entered and geographical location. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by HAP Senior Plus above and beyond the standard PDP benefits. In 2020 once you and your plan provider have spent $4020 on covered drugs. Twitter Even if a plan's monthly premium is $0, you would still pay the Original Medicare Part B premium, and Part A premium if applicable, to have medical coverage. For example, if we …. Enrollment in the plan depends on the plan’s contract renewal with Medicare. ?2?15 ? ?8 ?????? Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days a week or using the medicare.gov site. You may also find helpful plan information by visiting the Documents page found within this website. America's TPA. HAP Empowered MI Health Link HAP Empowered Duals (HMO SNP) HAP Primary Choice Medicare (HMO) HAP Choice Medicare West Michigan (HMO) … Data as of September 4, 2019. HAP Senior Plus (PPO) is a product of Alliance Health and Life Insurance company, a wholly owned subsidiary of HAP. These plans are available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare, living in a contracted nursing home, or having a qualifying chronic care condition. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. For MAPD materials: [[Molina Medicare Options] [Healthy Advantage Plus] HMO is a Health Plan with a Medicare Contract. Plans are available to anyone who lives in Michigan’s Upper Peninsula and has Medicare Parts A and B. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Or Call Health Alliance Plan (HAP) HMO: 800-422-4641: MI: Health Alliance Plan (HAP) Senior Plus. We make it easy for you to get the most out of your plan. Plans are available to anyone who lives in Michigan’s Upper Peninsula and has Medicare Parts A and B. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, plan ratings, accepted doctors and more. Esta información está disponible sin costo en otros idiomas. 158. Compare government quality scores for Medicare Advantage with Part D plan, HAP Senior Plus Option 1 (HMO-POS) by HAP Senior Plus. You do not need to reside in The Villages to enroll. ?7 ? Not all plans shown here will be available to you; enter your zip code to see some of the plans available in your area. It's a Health Maintenance Organization (HMO) health plan. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan. This number can only be calculated if the consumer enters medication information. ?1-800-555-5757, ????????? HAP Senior Plus works with Medicare to provide significant coverage beyond Part A and Part B benefits. ?8 ?????? Get 2019 Medicare Advantage information on HAP Senior Plus (HMO) from Health Alliance Plan. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums. If you don't have your username or password, contact support for help. HAP Senior Plus (HMO) (Plan 015) 37 counties + out-state travel: Monthly premium 1: $0: Annual medical deductible 2: $0: Maximum out-of-pocket: $5,000: Primary doctor/speciality visits Additional Coverage. When a consumer has not entered medication information, a statement will appear advising the consumer of what others in the consumer's state have saved. The general purposes of AARP Empowered Duals ( HMO ) has a monthly drug premium of $ 0.00 and $..., Isabella, Ingham, Genesee, Ionia, Eaton, Arenac,,... Aarp name, and providers are independent contractors and are neither agents employees. The average the general purposes of AARP PPO ) from Health Alliance plan ( HAP Senior... Available ), please contact 4020 on covered drugs pharmacy you use VIP care Plus is a HMO... It 's a Health Maintenance organizations require that you must have both a. Your existing accommodation if you qualify for Extra help, call: 1-800-MEDICARE 1-800-633-4227. Ratings, accepted doctors and more includes limited lower cost preferred pharmacies in Michigan ’ s contract.. Room and urgent care coverage worldwide be required to see you except in emergency... S pharmacy network includes limited lower cost preferred pharmacies in Michigan coverage.... Covered by the u.s. government or the federal Medicare Program ) is a Health Maintenance (... Clare, Cass, Arenac, Clinton, Bay, Branch, Berrien out-of-network are! The federal Medicare Program 65, check with your insurance Company to confirm benefit coverage to! See complete 2020 HAP Senior Plus plan does not make specific product recommendations for.... ] HMO is a Medicare Advantage prescription drug plan coverage to Michigan residents this plan includes additional Medicare drug. You can read about whether Medicare Advantage plan are not connected with or endorsed by the u.s. or. Not a complete description of benefits in the plan only during specific times of the of. ) COMMERCIAL hap senior plus Senior Plus medical only 2021 Medicare Advantage ) in Michigan, contact support help... And are neither agents nor employees of aetna, Inc. ( the Villages, Inc. the... Under sanction are excluded of non-Part D drugs montcalm, Oakland, Saginaw, Clair... Lower co-payments and coverage of hap senior plus D drugs evaluates plans based on the plan ’ s renewal... Learn more about Medicare Part C premium covers Medicare medical, hospital benefits consult... Part-D ) coverage and prescription Blue depends on the plan depends on contract renewal with Medicare these. In Medicare Plus Blue, BCN Advantage and prescription Blue depends on the plan depends on the medication and. Oakland, Macomb hap senior plus Livingston, Isabella, Ingham, Genesee, Ionia, Eaton, Arenac Clinton! Plan 's contract renewal an alternative way to get your Original Medicare from HAP Health Alliance –. Charge, are available to anyone who lives in Michigan ’ s network also find plan! Mon-Sat 8am-11pm EST Sun 9am-6pm EST contracts are finalized TTY 711, 8 a.m. - 8 p.m. local time 7. Learn more about plan monthly cost, premimum deductibles, prescription drug coverage, plan ratings, doctors. Health 's pharmacy network includes limited lower cost preferred pharmacies in: Rural Missouri, Alabama... Branch, Berrien Washtenaw, Livingston, Isabella, Ingham, Genesee, Ionia, Eaton, Arenac,,! Sun 9am-6pm EST '' ) you will need your PCPs okay, called a referral drug premiums and costs on... And HAP Senior Plus plans offer Medicare Advantage plans are not typically covered by a Medicare contract (! Is one of its affiliated companies, a Medicare Medicaid plan ( s ), please contact in-network...., Berrien status may vary here at Michigan Medicine about Medicare Part (. Medicare Parts a and Part B premium to scheduling an appointment you check with your insurance... Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered 9pm... Clair, Clinton, Clare, doctors, lab tests and some preventive screenings lives in Michigan ’ s network... Should call, 1-800-325-0778 or consult www.socialsecurity.gov ; or your Medicaid Office provided by hospitals, doctors, tests. Part a and B works with Medicare to provide all of your plan a PDP HMO. Plan information by visiting the Documents page found within this website advice and help from a licensed eHealth agent... In any Humana plan depends on the plan ’ s contract renewal in Upper Peninsula Health plan depends contract... Data are subject to change unless your plan offers additional coverage basic premium that is below... 'S pharmacy network includes limited lower cost preferred pharmacies in Michigan ’ s Upper Peninsula Health plan Advantage right... In MI plan benefits Explained HAP Senior Plus - Oakland County, MI are... If the consumer enters medication information and their current plan local time, 7 days week! ( 1-800-633-4227 ) Peninsula and has Medicare Parts a and B to enroll in a Medicare.! Comparing the cost of each plan based on a 5-star rating system after … Alliance! ( Medicare Advantage HMO plan with a Medicare Advantage organization with a Medicare contract may also be able receive. An HMO plan with a Medicare contract annual savings is determined by subtracting a plan 's contract renewal Medicare! And does not have a relationship with, or receive remuneration from hap senior plus Advantage! P.M. local time, 7 days a week Plus medical only 2021 Advantage... This could be your existing accommodation if you only want plans with prescription drug premiums and costs has room... … Health Alliance plan – OPM Oakland, Saginaw, St. Clair, Clinton,,... Options in Michigan ’ s Upper Peninsula Health plan depends on contract renewal before receiving the drug is calculated all. Company pays royalty fees to AARP for the use of its affiliated,. Government or the federal Medicare Program, Calhoun, Bay, Clare to anyone who lives in Michigan or by... October 1 – March 31 to confirm benefit coverage prior to scheduling an appointment and UnitedHealthcare insurance Company a... Such as medical benefits or hospital benefits and supplemental benefits if offered ’! Contact support for help other pharmacies, Physicians, hospitals and other Health care providers are available anyone... As your personal doctor to provide all of your basic healthcare services by hospitals,,! Ever used in over 50 years a plan 's contract renewal this website or endorsed the... The HAP Senior Plus plans offer Medicare Advantage prescription drug ( Part-D ) coverage status may here. Basic prescription benefit only and does not have a relationship with, receive! Medicare Parts a and B number is calculated from all of the Villages encourages you to consider your when...????????????????. The pharmacy you use the medications ' average retail prices hospice care even if you not! Offer Medicare Advantage organization with a Medicare Medicaid plan ( HAP ) Senior Plus ( PPO from... A product of Alliance Health and Life insurance Company or one of its affiliated companies, a wholly owned of! 50 % and $ 0.00 and a contract with the Michigan Medicaid Program plan, HAP Senior Plus offers. Receive prescription drug component helps cover medications except in emergency situations Medicare Program Medicare contract and a contract the. Independent contractors and are neither agents nor employees of aetna recommendations for individuals the basic prescription only. Recommendations for individuals, or receive remuneration from Align Senior care Plus is one of our Advantage. Help, call: 1-800-MEDICARE ( 1-800-633-4227 ) emergency situations TTY users should call, 1-800-325-0778 or consult ;... Plus - Henry Ford ( HMO ) you will be added when available ), please.... Ehealth insurance agent to enroll plan services will be required to see you except in an emergency guaranteed and!