Updated Articles

  1. What are out-of-pocket costs?

    Out-of-pocket costs are what you must pay when you get care. These costs depend on how much care you actually get and your yearly out-of-pocket maximum. Once you hit this limit, your insurance pays for all of your care. There are three types of out-...
  2. What is a POS?

    A POS (Point of Service) plan gives you personal care and the freedom to go in and out of network. You'll get: The comfort of having an in-network PCP to oversee all your care. Flexibility to see out-of-network providers. Savings by seeing docto...
  3. How do I enroll in a Medicare plan?

    The Annual Enrollment Period is October 15 to December 7 each year. Outside those dates, you must qualify for a Special Enrollment Period to enroll in a plan. Our plans are only available in certain places. Make sure you live in our service are...
  4. How can I sign up for Medicare Part A and Part B?

    Apply online through the Social Security's website . Call Social Security at (800) 772-1213, TTY (800) 352-0778 or 711. Fill out the Application for Enrollment in Part B . Remember, you must already have Part A to apply for Part B. If you're a...
  5. What if I’m still covered at work?

    In most cases, you can keep the health plan you have and enroll in Medicare when you retire. If you have other insurance, like through your work, there are rules for whether Medicare pays first. If your employer has fewer than 20 employees, you ma...
  6. Am I eligible for a Special Enrollment Period?

    Outside the Annual Enrollment Period , you can only enroll in a plan after a special event with a Special Enrollment Period (SEP). These are the different kinds of SEPs: Moved to a new service area or to an area with new plan options: You can s...
  7. National Coverage Determinations

    When the Centers for Medicare & Medicaid Services (CMS) makes changes to the services that are covered, they update them through National Coverage Determinations. Learn more about National Coverage Determinations on  their website . CMS has issued t...
  8. Low Income Subsidy (LIS) Info

    You might be able to get extra help paying for your prescription drug premiums and costs. For more info and to see if you qualify, contact: Medicare.gov at (800) MEDICARE (800) 633-4227, TTY (877) 486-2048 24 hours a day, 7 days a week Th...
  9. What are Virtual Visits, and how can I use them?

    Our members can take advantage of virtual visit coverage to avoid the wait at the doctor’s office. Get care for common conditions like allergies, cold, flu and pink eye from anywhere you have phone or internet connection in the U.S. You can connec...
  10. What is Medicare Supplement?

    Medicare Supplement, also called Medigap, is coverage you buy to help pay for some of the costs Original Medicare doesn't. Benefits are identical from company to company, and you must have Part A and Part B. These plans don't cover everything, so t...