Review Medicare plans and get answers to your questions

Comparing Medicare plans could result in cost savings or expanded benefits. And if you’re currently enrolled in Medicare, the benefits covered by your plan might have changes.

When choosing a Medicare plan or reviewing your Medicare options with an agent, some things to consider include:

• Have my health or prescription needs changed?
• Are there plans that can reduce my out-of-pocket costs?
• Can I find a plan offering more coverage?

Care and Coverage Combined for a Common Cause: You

To meet the healthcare needs of Medicare-eligible Henry Ford Health patients, HAP and Henry Ford Health have launched a new co-branded Medicare Advantage (MA) product. This plan was built with you in mind and will provide significant coverage benefits in the system.

The Henry Ford Select Medicare Advantage Plan was designed for existing patients in the Henry Ford Health System. This plan is a designed around the Henry Ford Health network. The doctors you know and trust within Henry Ford Health System are in-network, other care providers outside of the system are not.

Benefits of the Henry Ford Select Medicare Advantage Plan include:

• $0 premiums* and in-network primary care physician (PCP) copays
• $10 copays for physical, occupational and speech therapy
• $15 copays for specialist visits, with access to top Henry Ford Specialists
• $0 Tier 1 and 2 prescription copays, with $100 in average yearly savings per prescription
• 100% dental preventative care coverage — we pay the first $2,000 for comprehensive dental services
• An $820 annual benefits Mastercard to spend on OTC items and more
• And more!

Speak with a licensed Medicare expert to enroll:
(833) 923-1691 (TTY: 711)

Oct. 1 through March 31: Seven days a week, 8 a.m. to 8 p.m.
April 1 through Sept. 30: Monday-Friday, 8 a.m. to 8 p.m.
hap.org/hfhplan

*You must continue to pay your Medicare Part B premium

Medicare made easy with HAP

HAP (Health Alliance Plan) is a health plan owned by Henry Ford Health and has contracts for Medicare Advantage plans. HAP participates in Medicare Supplement Insurance plans and Medicare Advantage plans. Benefits vary by plan. Be sure to check with your specific health plan to verify your physician is an in-network provider.

For more information, please visit hap.org.

Medicare Advantage plans produce better outcomes

A recent study by Optum Health included data on more than 316,000 people, split evenly between Medicare Advantage (MA) and traditional Medicare beneficiaries. The researchers found that the MA plans produced better outcomes than those persons with a traditional Medicare plan. Patients enrolled in MA plans:

• Were 18% less likely to be admitted to the hospital
• Had 11% lower odds of visiting the emergency room
• Were 44% less likely to be admitted for complications of COPD
• Were 9% less likely to be readmitted to the hospital 30 days after discharge.

Shop for HAP Plans

Understanding Medicare

Medicare is a federal government program that offers health insurance to individuals who are:

• Age 65 and older
• Under age 65, disabled and on Social Security for 24 months
• Any age with end-stage renal disease or ALS (amyotrophic lateral sclerosis)

When you enroll in Medicare, you can choose from:

Original Medicare: This plan includes Part A (hospital insurance) and Part B (medical insurance). You also can add Part D (prescription drug coverage) and Medicare supplement insurance.

Medicare Advantage: Similar to an employer’s HMO or PPO, these bundled plans include Medicare Part A and B and usually Part D, as well as additional benefits Original Medicare doesn’t cover such as vision, dental and hearing. Some Medicare Advantage plans may have lower out-of-pocket costs than Original Medicare.

View the Medicare And You Handbook to learn more about these plans.

Enrollment periods at a glance

Initial enrollment period

The initial enrollment period is a seven-month period that includes three months before you turn 65, your birthday month, and three months after you turn 65.

Annual Enrollment Period (AEP)

The Medicare Annual Enrollment Period (AEP) happens every fall from Oct. 15 to Dec. 7. During this time, you can join, drop or change Medicare coverage. The plan coverage you choose during AEP starts on Jan. 1 of the following year.

Medicare Advantage open enrollment

This one-time change takes place between Jan. 1 to March 31. You must already be enrolled in a Medicare Advantage plan on Jan. 1. During this time, you can switch to a different Medicare Advantage plan with our without drug coverage, or return to Original Medicare and enroll in Part D. You can’t switch from one prescription drug plan to another. There’s no guaranteed issue right for Medigap.

General enrollment period

There is a three-month window from Jan. 1 through March 31 annually where you can enroll in Medicare Part A and Part B for the first time if you missed signing up when you were first eligible, and you are not eligible for a special enrollment period. You may be subject to late penalties.

Individuals can sign up for Medicare Advantage (Part C) from April 1 through June 30. Coverage begins July 1.

Special enrollment period

In some cases, you may be able to enroll in or switch to a plan outside of the initial enrollment period. This includes changes in your life situation, such as:

• You retire and leave a health care plan through your employer or union
• You move out of your current health plan’s service area

When you enroll will determine when your coverage begins. To determine your eligibility and for more information on enrollment periods, visit medicare.gov/sign-up-change-plans.

Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. Enrollment depends on contract renewal.