5 THINGS TO REMEMBER
You may read or hear about managed care plans leaving the Medicare program in your area. If you are in the Original Medicare Plan, you are not affected. If you are in a Medicare managed care plan, you may be affected, but you are still covered by Medicare.
Medicare benefits will always be available to Medicare beneficiaries. Medicare benefits can be delivered either through the traditional fee-for-service arrangement, known as the Original Medicare Plan, or in some areas through managed care plans.
If you are affected by a withdrawal, you will have to make a new health care choice. But for most beneficiaries, you have time to make a choice. Since changing the way you receive your health care is an important decision, you may wish to ask those you trust such as family or friends for help. Special rules may apply when you dis-enroll from a Medicare health plan and return to the Original Medicare Plan with a supplemental insurance policy (Medigap). If you or your spouse have health care coverage through a former employer or union, contact a company representative before you make a new health plan choice. If you have Medicaid coverage, do not make a new health plan choice until you contact the State Medical Assistance Office or the State Medicaid Program.
Individuals affected by a plan withdrawal should receive a letter from their plan in July XXXX. In addition to this letter, all beneficiaries affected by a plan withdrawal will receive another letter from their plan in September XXXX. The September letter will provide you with more detailed information about your health care options, including information about Medigap insurance.
We understand that the withdrawal from Medicare of some managed care plans causes disruption for those enrolled in these plans. To ease this transition, HCFA is committed to ensuring that beneficiaries have useful information about Medicare and the rights and protections available to beneficiaries affected by these plan withdrawals.
beneficiaries and their caregivers, HCFA established the Medicare Choices Helpline. The
Medicare Choices Helpline can be reached by dialing 1-800-MEDICARE (1-800-633-4227).
Hearing impaired individuals using a telephone device for the deaf can call 1-877-486-2048
for assistance. This toll-free number is staffed by English and Spanish-speaking customer
service representatives from 8:00 a.m. to 4:30 p.m. local time. Customer service
representatives at the Medicare Choices Helpline can: