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Non-Renewing Medicare Advantage Plans

Provider Directory Precertification Request Form

Formulary Shingles Vaccine Info. Rx Mail Order Form Out of Area Coverage Drug Management Programs Medication Therapy Management Programs Drug Exclusions Rx Determination Request Form Part D Coverage Determination Request Form Rx Prior Authorization

Complaints about Rx Coverage? How to File a Grievance How to File an Appeal Appoint a Representative Appeal & Grievance Form

Who Can Join? Summary of Benefits Evidence of Coverage Quality Program Ending Your Membership Disclaimers

Extra Help for Premiums

What do I do if my plan is non-renewing?

If you have received a letter from your current Medicare Advantage plan that states they will end coverage in 2010, you have options! The Centers for Medicare and Medicaid Services (CMS) will give you a Special Enrollment Period (SEP) to find a new plan.

The SEP begins 1 month before the termination effective date and ends 2 months after the effective date of the termination. This extended enrollment period is given because CMS is aware that it may be burdensome for individuals to search out and compare new plans for their health care coverage in 2010.

Welborn Health Plans would like to offer assistance as well. Because it is difficult to understand the many plans being offered in Southern Indiana, Welborn has highly trained Medicare Specialists to help you understand your options.

You can review our 2010 Medicare Advantage plans.
You can call us and speak to one of our Medicare Specialists (licensed agent) over the phone.
You can request an individual appointment by providing information to us.
You can view all plans available in the area by going to www.medicare.gov

Welborn Health Plans has been a part of the Tri-State community since 1986. Our members are our neighbors and friends. It is our goal to help you find the right plan for you!

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.

Updated 7/2010

H3044_H1558_WHPWeb (10/2009)