

We are here to help you
navigate the healthcare
system and maximize
your
benefits. Find out more.
Listen to testimonials from satisfied clients and watch CEO Chris Reef talk more about our Medicare plans.
Welborn HMO Senior Advantage Plus
Get your quality Medicare coverage through Welborn Health Plans...
now with prescription drug coverage
!
the same great medical benefits as our Welborn HMO Senior Advantage plan, PLUS national in-network prescription drug coverage. This means that you pay the same amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan' s service area (like when you travel).
| Prescription Drug Coverage | |
| Plan Premium | $31.90 |
| Deductible | $0 |
| Tier Level | 30-Day Supply |
| Tier 1 - Generic | $8 copay |
| Tier 2 - Preferred Brand | $30 copay |
| Tier 3 - Non-Preferred Brand | $60 copay |
| Tier 4 - Specialty | 30% |
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.
WHP has contracts with pharmacies that equals or exceeds CMS requirements for pharmacy access in your area. Enjoy the freedom of 101 local Tri-State pharmacy locations.
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.
H3044_H1558_WHP_Website (08/08)



