erickson advantage (unique private medicare)

8
The response to Erickson Advantage © has been truly exciting. More than 1,000 residents have already signed on to Erickson Advantage © , a Medicare Advantage health insurance plan designed with the needs of Erickson residents in mind. In addition to health insurance coverage, Erickson Advantage © has two special experts for our members to utilize. A Nurse Care Coordinator to act as a liaison between members and hospitals A Member Services Representative to help resolve your Erickson Advantage © insurance questions We have provided these services to our members . . . right where they live! Experienced Geriatric Health Care PLUS, Erickson Advantage © still features its hallmark benefit for members: health care delivered by Erickson Health ® doctors and nurses. They are a team that truly understands your specific health care needs. Joining Erickson Advantage © is simple. At your Erickson community you will find an Erickson Advantage © representative ready to answer your questions. Read on and find out more about Erickson Advantage © . hy You Should Try Erickson Advantage ® Now? W My Erickson Representative was very good, very clear. I could understand what he was talking about. –Nancy Brecht, Erickson Advantage ® Member

Upload: wm-medical-communications

Post on 06-Apr-2016

220 views

Category:

Documents


3 download

DESCRIPTION

Medicare Advantage (supplementary Medicare plans) are almost ALL from the government. But Erickson Retirement Communities was allowed to provide 1st such program...and I wrote the copy. Here are a few pages.

TRANSCRIPT

Page 1: Erickson Advantage (Unique Private Medicare)

TheresponsetoEricksonAdvantage©hasbeentrulyexciting.Morethan1,000residentshavealreadysignedontoEricksonAdvantage©,aMedicareAdvantagehealthinsuranceplandesigned with the needs of Erickson residents in mind.

Inadditiontohealthinsurancecoverage,EricksonAdvantage©hastwospecialexpertsforourmemberstoutilize.

• A Nurse Care Coordinator to act as a liaison between members and hospitals

• A Member Services Representative to help resolve your Erickson Advantage© insurance questions

Wehaveprovidedtheseservicestoourmembers...rightwheretheylive!

Experienced Geriatric Health Care

PLUS,EricksonAdvantage©stillfeaturesitshallmarkbenefitformembers:healthcaredeliveredbyErickson Health® doctors and nurses.Theyareateamthattrulyunderstandsyourspecifichealthcareneeds.

JoiningEricksonAdvantage©issimple.AtyourEricksoncommunityyouwillfindanEricksonAdvantage©representativereadytoansweryourquestions.ReadonandfindoutmoreaboutEricksonAdvantage©.

hy You Should Try Erickson Advantage® Now?W

My Erickson Representative was very good, very clear. I could understand what he was talking about. –Nancy Brecht, Erickson Advantage® Member

“”

Page 2: Erickson Advantage (Unique Private Medicare)

Here is a look at just a few of the many advantages of your Erickson Advantage® plan:

The Erickson Advantage® health plan offers multiple health insurance plan options, because Erickson Advantage® recognizes you have individualized insurance needs. Ask your Erickson Advantage® representative for details.

Nurse Care Coordinator—Like having your own private nurse.

Ineachcommunity,youwillfindanursecarecoordinatoraspartoftheEricksonAdvantage®program.Thisskilledprofessionalprovidesawiderangeofservices,in-cludingpreparingyouforupcomingmedicalprocedurestoansweringyourquestionsondifferenthealthissues.

AfewofthewaysyourEricksonAdvantage®NurseCareCoordinatorsupportsyou: a.YourNurseCareCoordinatorprovidesinformationandeducationonavariety

ofconditionsandhealth-relatedissues.Youdon’talwaysneedtowaitforyourdoctor.

b.YourNurseCareCoordinatorwillansweryourquestionsandhelpprepareyouforupcomingmedicalprocedures.

c.YourNurseCareCoordinatoractsasyourhospitalliaison.Thatmeanshelpingyougetreadyforanyhospitaladmissions,andspeedingyourwayhome(ortopost-hospi-talcare)whenitistimeforyoutobedis-charged.

Member Services Representative—Your personal health insurance liaison.

Imaginenothavingtowaitonthephonetogetyourquestionsanswered!Whatifinsteadyoucouldsimplystrolldownthehallorcall,presentyourquestiontoamemberservicerepresentative,whoservicesEricksonAdvantage®membersonly—secureintheknowledgethattherepresentativewillhandlethatquestionquicklyandefficiently?

Reasons to Find Out More About Erickson Advantage®6

1

2

3

Page 3: Erickson Advantage (Unique Private Medicare)

Soundimpossible?NotifyouareanEricksonAdvantage®member.IfyoueverexperienceaproblemorquestionregardingEricksonAdvantage®reimbursements,referrals,orbilling,justcallorstopbyyourMemberServicesRepresentitiveon-siteofficeandyouwillbetakencareof.

Transportation off-site to approved medical facilities.

Prescription drug option.

EricksonAdvantage®hasplansavailabletoyouwhichofferprescriptiondrugcoverage.AskyourEricksonAdvantage®

Representativefordetails.

Accent on preventive care.

EricksonAdvantage®emphasizespreventinghealthproblemsfromdeveloping,notjusttreatingthemaftertheyarise.Itdoesthistwoways:

a.Preventiveprograms

b.Coverageforawidevarietyofpreventivetestsandvaccinationsincluding:

I’d be spending more if I had not enrolled in Erickson Advantage®, not just on prescriptions, but the transportation to and from the doctor.

—Frank Brown, Erickson Advantage® Member

“”

All of this—and more—is delivered by Erickson Health®

doctors and nurses with specific expertise in your unique health care goals.

•BloodPressureMonitoring

•DiabetesMonitoring

•Papsmear/PelvicExams

•FluShots

•PneumoniaVaccine

•BoneTesting

•ColorectalScreening

•Mammography

•ProstateScreening

•HepatitisBVaccine

4

5

6

Page 4: Erickson Advantage (Unique Private Medicare)

uestions & nswers About Erickson Advantage®

Q A

Who can join Erickson Advantage®?

EricksonAdvantage®isonlyavailabletoEricksonRetirementCommunityresidents.AswithotherSupplementalandAdvantagePlans,youmustbeentitledtoPartAandenrolledinPartB.YoumustcontinuetopaytheMedicarePartBpremium. EnrollingwithusdoesnotaffectyourMedicaideligibility.Personswithend-stagerenaldiseaseatthetimeofapplica-tionarenoteligible,exceptundercertaincircumstances.

QA

My Erickson Advantage® representative was very good, very clear. I could understand what he was talking about.

—Nancy Brecht, Erickson Advantage® Member ”“

How do I find out more about Erickson Advantage® and see if it is right for me?

FindingoutmoreaboutEricksonAdvantage©isaseasyasastrolldowntoyourEricksonAdvantage©office.

Q

A

If I chose not to join the health plan, can I still go to the community Medical Center?

Yes,allEricksonresidentscanutilizetheservicesprovidedatthemedicalcenter.

A

Q

Page 5: Erickson Advantage (Unique Private Medicare)

Who provides care to Erickson Advantage® members?

EricksonAdvantage®hasanetworkofphysicians/providersinadditiontotheprimarycarephysi-ciansatEricksonMedicalCenters.Youmaygotooutofnetworkphysicians/providersbutyouwillpaymore.Toreceivepreferredbenefits,membersmustuseournetworkofphysicians/providers.

QA

Erickson Advantage® is sensible, it is client-centered, and it makes good sense financially all the way around.

—Anne Blackburn, Erickson Advantage® member

“”

If you have any problem you can always go to your Member Services Representative and they will find the answer. I can’t say enough good things about my Member Services Representative. She is sweet and calm, always ready to help.

— Doris Turner, Erickson Advantage® Member”“

Page 6: Erickson Advantage (Unique Private Medicare)

ind Out More Today

www.EricksonAdvantage.com

F

Signing up for the Erickson Advantage® plan was very easy.

—Douglas Smith, Erickson Advantage® member

“ ”

Your helpful Erickson Advantage® Representative will be happy to answer any questions you have and help you decide if the plan is right for you…because Erickson Advantage® might be the health plan answer you have been looking for.

For more information on Erickson Advantage® stop by the office or call <local number>, TYY 1-888-685-8480 Monday – Friday 8:30 a.m. – 5:00 p.m. (local time).

Note:ThesearejustsomeofthehighlightedbenefitsavailablethroughEricksonAdvantage®.PleaserefertotheSummaryofBenefitsforadescriptionofbenefits.

Page 7: Erickson Advantage (Unique Private Medicare)

Thisdocumentisavailableinalternativeformats.UnitedHealthCareInsuranceCompany’scontractwithCMSisrenewedannually(January1).Availabilityofcoveragebeyondtheendofthecurrentcontractyearisnotguaranteed.

YoumustbeenrolledinMedicarePartAandPartBandyoumustcontinuetopayyourMedi-carePartBPremiumifnototherwisepaidforunderMedicaidorbyanotherthirdparty.EricksonAdvantage®isavailabletoallMedicarebeneficiariesresidinginCharlestown,OakCrest,Riderwood,Greenspring,Ann’sChoice,Seabrook,CedarCrest,LindenPonds,BrooksbyVillage,HenryFordVillage,FoxRun,MonarchLanding,Sedgebrook,HighlandSprings,Eagle’sTrace,MarisGroveandoth-ercommunitiesbuiltandmanagedbyErickson.ToobtainpreferredEricksonAdvantage®benefits,youmustreceiveprimarymedicalcarefromanCharlestown,OakCrest,Riderwood,Greenspring,Ann’sChoice,Seabrook,CedarCrest,LindenPonds,BrooksbyVillage,HenryFordVillage,FoxRun,MonarchLanding,Sedgebrook,HighlandSprings,Eagle’sTrace,MarisGrovephysician.Yourcostsmaybehigherifyouusenon-planproviders.Notallbenefitsareavailablefromnon-planproviders.Yourabilitytoenrollmaybelimitedtocertaintimesoftheyear.Formoreinformationcontactcustomerservicesat,1-800-704-7839.TTYuserscancall,1-888-685-8480.MondaythroughFriday,8:30a.m.to5:00p.m.Localtime.

TheMedicarePrescriptionDrugBenefitisonlyavailabletoenrolleesofthisEricksonAdvantage®MA-PDplan.IfyouarealreadyenrolledinaMA-PDplan,youmustreceivetheMedicarePrescriptionDrugBenefitthroughthatplan.

Toreceivethehighestlevelofbenefityoumustusecontractednetworkpharmaciestoaccessyourprescriptiondrugbenefitexceptinthecaseofemergency.Youmayobtainyourprescriptionsfrompharmaciesoutsidethecontractednetworkatareducedbenefit.Thepharmacynetworkincludesmorethan50,000pharmaciesnationwideincludingretail,mailorder,long-termcare,homeinfusionandI/T/U(IndianHealthService,TribesorUrbanIndian)pharmacyservices.Forinformationaboutmailorder,namesandaddressesofnetworkpharmaciesorformoreinformationcall1-800-704-7839.TTYuserscancall,1-888-685-8480.MondaythroughFriday,8:30a.m.to5:00p.m.localtime.Orwriteus

atEricksonAdvantage®,P.O.Box459018,Sunrise,FL,33345-9018.Orgotowww.EvercareHelathPlans.com

MedicarebeneficiariesmayenrollinEricksonAdvantage®throughthecentersforMedicareandMedicaidServicesOnlineEnrollmentCenter,locatedatwww.medicare.gov.Formoreinformation

contactEricksonAdvantage®at1-800-704-7839.TTY1-888-685-8480MondaythroughFriday,8:30a.m.to5:00p.m.localtime.

IfyouqualifyforextrahelpwithyourMedicarePrescriptionDrugPlancosts,yourpremiumand

drugcostswillbelower.WhenyoujoinEricksonAdvantage®,Medicarewilltellushowmuchextrahelpyouaregetting.Thenwewillletyouknowtheamountyouwillpay.Youmaybeabletogetextrahelptopayforyourprescriptiondrugpremiumsandcosts.Toseeifyouqualifyforgettingextrahelp,call:1-800-MEDICARE(1-800-633-4227).TTY/TDDusersshouldcall1-877-486-2048,24hrsaday/7daysaweekoryourStateMedicaidOffice,ortheSocialSecurityAdministrationat1-800-772-1213between7a.m.and7p.m.MondaythroughFriday.TTY/TDDusersshouldcall1-800-325-0778.

EricksonAdvantage®isaMedicareAdvantagedemonstrationprojectadministeredbyEvercare,offeredbyUnitedHealthCareInsuranceCompany,aMedicareAdvantageorganizationwithaMedicarecontract.

M0011_E_060830_63 CMS 09/06

Page 8: Erickson Advantage (Unique Private Medicare)

Notes