Harvard Pilgrim s. Medicare Supplement Plan. Simple, smart solutions to supplement your Medicare coverage. Massachusetts
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1 Harvard Pilgrim s Medicare Supplement Plan Simple, smart solutions to supplement your Medicare coverage Massachusetts Coverage underwritten by HPHC Insurance Company, an affiliate of Harvard Pilgrim Health Care.
2 1 When it comes to health coverage for Medicare beneficiaries, we make it simple. Enrolling Monthly Harvard Pilgrim is excited to present our Medicare Supplement Plan that s easy to use and helps to fill in the gaps in your Medicare coverage. Our Plan options will give you the very best Harvard Pilgrim has to offer the coverage you need at a predictable price. And with more than 30 years of experience in providing health care coverage for Medicare beneficiaries, we know how to make things simple for you. All this from a health plan that s been consistently top rated for high quality care and outstanding service. Why Medicare Supplement? Often people believe that Original Medicare pays for all hospitalization and doctor costs. When first enrolled in Medicare, they re surprised to learn that there are gaps in their coverage and that they re responsible for paying for services that Medicare doesn t completely cover. That s how Harvard Pilgrim can help you. Our Medicare Supplement Plan options help fill in the gaps, and you decide the level of coverage you want. Our easy-to-use Plan options feature: 15% savings off your monthly premium your first year of coverage by enrolling when initially eligible for Medicare The choice to go to any Medicare participating physician or hospital anywhere in the country The ability to keep the doctor you currently have if they are a Medicare participating physician No need for referrals Monthly enrollment - no need to wait for the Medicare Open Enrollment Period Choice of Medical Plan options Core Plan or Med Supp 1 No copayments for physician services (a Part B deductible applies to the Core Plan) Worldwide travel emergency coverage Fitness Benefit Up to $150 yearly reimbursement Outstanding customer service We offer two different Medicare Supplement Plan choices: Core Plan and Med Supp 1, with varying levels of premiums and coverage. Please review the enclosed Outline of Coverage and the Benefit Highlight Chart to pick the plan that works best for you.
3 What kinds of coverage gaps need to be filled? 2 When Medicare covers a service, you usually have to pay for a portion of the cost, called a deductible or coinsurance. Deductibles are the amount you are responsible for before Medicare begins to pay. After your deductible is paid, you may also have to pay a coinsurance, which is usually 20% of the cost of the service. If you have Original Medicare and Harvard Pilgrim s Medicare Supplement Plan, Medicare will pay its share of the Medicare approved amounts for covered health care costs first. Then Harvard Pilgrim has plan options to cover the rest. What is Medicare? Medicare is a Federal Government health insurance program that was created in 1965 by the Social Security Administration. It s health insurance for people 65 or older, under 65 with certain disabilities, and any age with End-Stage Renal Disease (ESRD). The Different Parts of Medicare Medicare Part A (Hospital Insurance) Helps cover inpatient care in hospitals Helps cover skilled nursing facility, hospice and home health care Medicare Part B (Medical Insurance) Helps cover doctors services and outpatient care Helps cover some preventive services to help maintain your health Medicare Part C (Medicare Advantage Plans) Plans that are offered by private companies approved by the Centers for Medicare & Medicaid Services (CMS) Medicare Part D (Medicare Prescription Drug Coverage) A prescription drug option offered by private insurance companies approved by and under contract with the Centers for Medicare & Medicaid Services (CMS) Helps cover the cost of prescription drugs
4 3 Medicare Supplement Plan Eligibility How do I know if I m eligible to join? You re eligible to join if: You reside in Massachusetts You are entitled to Medicare Part A (hospital), enrolled in Medicare Part B (medical) and you continue to pay Medicare Part B premiums. You also may be eligible if you are under 65 and have a disability other than End-Stage Renal Disease Note: If you are already covered by both Medicare and Medicaid, you most likely do not need the additional coverage that Harvard Pilgrim s Medicare Supplement Plan options would provide.
5 When do I enroll? 4 If you are eligible, you can enroll Anytime! However, the best time to enroll in Harvard Pilgrim s Medicare Supplement Plan is during your Medicare Supplement initial open enrollment period since you can save money on your premiums when you re initially eligible for Medicare. This period lasts for six months and begins on the first day of the month in which you are 65 or older and enrolled in Medicare Part B. If you have group health coverage through an employer because either you or your spouse is currently working, you may want to wait to enroll in Part B. When your employer coverage ends, you will be able to enroll in Part B and take advantage of the discount if you enroll within six months. You can send in your application for our plan before your Medicare Supplement open enrollment period starts. This may be important if you currently have coverage that will end when you turn 65, as it allows you to have continuous coverage. Save money! To qualify for these discounts you must be at least age 65 and apply for coverage within six months of your Part B effective date. 15% in the first 12 months of enrollment 10% in the second 12 months of enrollment 5% in the third 12 months of enrollment There are no discounts after the third year For more information about initial eligibility discounts, please refer to the enclosed Monthly Premium Rates.
6 5 How do I enroll? Enroll Now! Enroll over the phone at It s easy to enroll in Harvard Pilgrim s Medicare Supplement Plan. Compare our Medicare Supplement Plan options from the enclosed Outline of Coverage and Benefit Highlight Chart. Once you ve found a Plan option that works for you, simply: 1-(877) (Monday-Friday 8:30 a.m. - 5:00 p.m.) Complete the Medicare Supplement Plan application included in this package Ensure you've read and answered all the questions Sign the completed application and mail it to us. Please do not send your premium payment with the application; you will receive a bill after your application has been processed If you would like to enroll over the telephone with a Plan representative, please call 1-(877) (Monday- Friday 8:30 a.m.-5:00 p.m.) You can also enroll online at Our Sales Executives are available to help you with any questions you may have about our Plan options and how to enroll. Please call our knowledgeable team at 1-(877) , October 1-February 14, 8 a.m. 8 p.m. 7 days a week, February 15-September 30, 8 a.m. 8 p.m. Monday through Friday. Money-back guarantee! Every plan comes with a 30-day guarantee period. This means that you have 30 days after receiving your policy to decide whether or not to keep your policy. What could be easier?
7 When will my coverage begin? 6 Your coverage is effective on the first day of the month following the month in which we received your signed, completed enrollment form. For example, if we received your signed, completed enrollment form on January 15, your coverage will be effective February 1. Feel confident we re there for you Harvard Pilgrim has a highly experienced team of Member Service Representatives dedicated to answering your questions once you're a member. They understand that you want a hassle-free experience and will answer your questions in a friendly and knowledgeable way. Wellness programs Our Plans come with many wellness programs designed to help members create their own roadmap to optimal living, for themselves, for their families and even for others. Our Web site also has lots of information and tools for improving your health, living with chronic conditions and more. Visit today.
8 7 Many ways to save on healthy products and services Y O U R M E M B E R The advantages of being a Harvard Pilgrim member go beyond the high quality care, reliability and personal support that distinguish us. Your Member Savings Program is not insurance, but it will help you save on health-related products and services that can enhance your quality of life. Here are some examples: Universal Dental Plan membership provides dental discounts of up to 20% to 50% on all procedures from a network of participating dentists Free eyewear and eyewear savings programs - Save 35% off eyeglasses and 40% off of frames at many selected vendors Savings on Hearing Aids - Save up to $200 on each hearing aid purchased at our selected providers Weight Watchers, Jenny Craig and Diet.com discounts Savings on Massage Therapy Savings on Acupuncture & Chiropractic Care Boston Ski and Sports Club - discounts on membership Appalachian Mountain Club - discounts on membership Safe Beginnings products - discounts on many home and child safety products To learn more about these and other savings, visit
9 Why Join Harvard Pilgrim's Medicare Supplement Plan? 8 We make it simple and easy to get the coverage you need at a predictable price You have choice and flexibility a choice of Plan options and the flexibility to go to any Medicare Participating physician or hospital anywhere in the country, with no need for referrals You can continue to see your current doctor if he or she is a Medicare participating physician Our wellness programs help support your health improvement You ll enjoy discounts on a wide range of health-related products and services All this from a name you know and trust. So, when you are looking for a supplement to your Medicare coverage, look no further than Harvard Pilgrim. Call us for more information at 1-(877) or visit us online at Or You Can Easily Enroll Now! Enroll over the phone at 1-(877) or online at It's that Simple!
10 Notes
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12 If you are a prospective member and have questions, please call 1-(877) TTY/TDD 711 October 1-February 14, 8 a.m. 8 p.m. 7 days a week, February 15-September 30, 8 a.m.-8 p.m. Monday through Friday Or visit us online: Coverage underwritten by HPHC Insurance Company, an affiliate of Harvard Pilgrim Health Care. 93 Worcester Street, Suite 100 Wellesley, MA Form No.: 2015MA051 MA OSPM 11/14
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