Medicare Health Plans >> Disclaimers

Medicare Health Plans

Disclaimers

• Premiums and Benefits may change effective January 1st of each calendar year.
• Medicare must review all enrollments. If you decide to enroll we will send your enrollment to Medicare, and they will do a final review. When Medicare finishes its review, we will send youa letter to confirm your enrollment with Welborn Health Plans Medicare Plan you have selected.
• Do not cancel any Medigap / Medicare Select or supplemental insurance that you have untilwe send you a confirmation letter stating that Medicare has accepted your application for WHP.
• Once enrolled in a plan, you can only make changes during certain times of the year. Between January and March, each year you have an opportunity to make changes, but you can only join a plan that has the same prescription drug coverage you have on your current plan. Annually, between November 15th and December 31st anyone can make any type of change. There may also be special circumstances such as moving out of the Plans service area that would allow you to change plans. Please call Medicare at 1-800-MEDICARE (1-800-633-4227) to ask questions or get free information booklets. TTY users may call 1-877-486-2048. Medicare Customer service representatives are available 24 hours a day, including weekends. You may also visit www.medicare.gov. The official site for Medicare information.
• If you have any questions, please call our Customer Service Department 8:00 a.m. to 8:00 p.m. seven days a week at (800) 521-0265. TTY users call via Indiana Relay
  (800) 743-3333.
• A Federally-Qualified HMO with a Medicare contract. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.
• Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare Part B premium even if the plan premium is $0. Members may enroll in the plan only during specific times of the year. Contact Welborn Health Plans for more information.
• Beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. HMO members must receive all routine care from plan providers. Plans may be renewed annually. Limitations, copayments, and restrictions may apply.
• People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

Updated 7/2010

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