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Welborn HMO Senior Advantage
Get your quality Medicare coverage through Welborn Health Plans!
Welborn Health Plans (WHP) has a contract with the Centers for Medicare and Medicaid Services (CMS) to meet the health care needs of people in Medicare and who want to be part of a managed care plan. The service area for our plans includes: Gibson, Knox, Perry, Pike, Posey, Spencer, Vanderburgh and Warrick counties in southern Indiana. You must live in one of these counties to join our Medicare plans.
| Medical Benefits | |
| PCP Visit | $10 copay |
| Specialist Visit | $25 copay |
| Emergency Room – Not Admitted | $50 copay Worldwide |
| Annual Routine Physical Exam | $0 copay |
| Pair of glasses, every 2 years | $25 copay |
WHP has chosen a group of health care providers to help us meet your needs. These doctors and specialists, hospitals, labs and other health care facilities make up our Provider Network. By using our network of physicians and hospitals*, you are ensured a higher level and preset copays. This means you will not pay more than listed in your Summary of Benefits, unlike other PPO plans or Private Fee For Service (PFFS) plans. By choosing a PCP, all the pre-authorizations and referrals are handled by their office.
If you want to keep seeing your current doctor or check to see which
doctors are available close to your home, please search our Provider
Directory or call our Medicare Department and they will send a directory
to you by mail. Call us if you have any questions or concerns regarding
our plans or your coverage.
1-812-426-6600 or 1-800-521-0265
*HMOs have a defined network of providers.
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