
Call to speak
with an agent1-888-773-0594
TTY:1-800-743-33338 a.m. to 5 p.m.
seven days a week
E-Mail WHP Medicare Customer Services
Fax: 716-541-6365
Who Can Join?
1. To be a member of The Welborn Health Plans (WHP) HMO Medicare Advantage Plans, you must permanently reside in our service area, consisting of the Southwestern Indiana Counties shown below.
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2. You must be entitled to Medicare Part A and enrolled in Medicare Part B. If you currently pay a premium for Medicare Part A and Medicare Part B, you must continue paying your premium in order to keep your Medicare Part A and/or Medicare Part B and to remain a member of this plan.
3. May not have been diagnosed with End Stage Renal Disease (ESRD) before the proposed effective date of coverage with any of the WHP Medicare Advantage Plans. However, if you already belong to a WHP plan (of any type) and will have no lapse in coverage when moving to one of the Medicare plans, you will be eligible.
4. You or your legal representative completes an enrollment election.
5. The individual makes a valid election during an election period as determined by CMS. See “Enrollment Periods” for details.
6. You have been fully informed of and agrees to abide by the rules of the Plan. Please refer to the Evidence of Coverage (EOC) for details.
7. An eligible individual may not be enrolled in more than one Medicare Advantge plan at any given time.
If you have any questions, please call our Customer Services 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.
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.
Updated 7/2010
H3044_H1558_WEB11_CMS_Approved_10012010




