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Health Plan Disclaimers

Med Care Plus LLC is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans with a Medicare contract. Enrollment in any plan depends on contract renewal.

Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for more details.

Chronic Condition Special Needs Plans are available to individuals with certain chronic diseases. To qualify for a Chronic Condition Special Needs Plan, a physician's diagnosis of the condition must be verified. Enrollees whose condition is not verified will be disenrolled.

A Private Fee-for-Service plan is not Medicare supplement insurance. Providers who do not contract with our plan are not required to see you except in an emergency.

Out-of-network/non-contracted providers are under no obligation to treat the Plan members, except in emergencies. For a decision about whether the Plan will cover an out-of-network service, we encourage you or your provider to ask the Plan for a pre-service organization determination before you receive the service. Please call the Plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week, or consult www.medicare.gov.

The plans we represent do not discriminate based on race, color, national origin, age, disability, or sex. To learn more about a plan’s nondiscrimination policy, please click here.

• UnitedHealthcare Medicare Plans - Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan's contract renewal with Medicare.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan's contract renewal with Medicare.

• UnitedHealthcare Medicare Plans - AARP MedicareComplete Plans carry the AARP name, and UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. You do not need to be an AARP member to enroll. AARP and its affiliates are not insurers.

AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals.

A Private Fee-for-Service plan is not Medicare supplement insurance. Providers who do not contract with our plan are not required to see you except in an emergency.

These plans are available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare, living in a contracted nursing home, or having a qualifying chronic care condition.

Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan's contract renewal with Medicare.

This information is available for free in other formats and languages. Please call our customer service number at ‭1 (888) 926-8736‬, TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week.

Esta información está disponible sin costo en otros idiomas. Comuníquese con nuestro Servicio al Cliente al número ‭1 (888) 926-8736‬, TTY 711, de 8 a.m. a 8 p.m. hora local, los 7 días de la semana.

資訊免費提供其他語言版本。請聯絡我們的客戶服務部 , 電話‭1 (888) 926-8736‬, 聽力語言殘障服務專 線711。10 月1 日至2 月14 日間 , 每週7 天 , 當地時間上午8 時至下午8 時間提供服務。2月15 日至9 月30 日間 , 週一至週五 , 當地時間上午8 時至下午8 時間提供服務。

• Aetna - Aetna Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal.
• Aetna - Aetna Medicare's pharmacy network includes limited lower cost preferred pharmacies in: Urban and Rural Michigan, Rural Nebraska, Rural Maine, Suburban Illinois, Suburban South Carolina. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at https://www.aetnamedicare.com/pharmacyhelp.

• Aetna - Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.
• Humana - Humana is a Medicare Advantage (HMO, PPO and PFFS) organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal.
• Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, ancestry, sex, sexual orientation, gender, gender identity, disability, age, marital status or religion in their programs and activities, including in admission or access to, or treatment or employment in, their programs and activities. The following department has been designated to handle inquiries regarding Humana’s non-discrimination policies: Discrimination Grievances, P.O. Box 14618, Lexington, KY 40512-4618, 1-877-320-1235 (TTY:711).
• Humana - The Humana Prescription Drug Plan (PDP) pharmacy network includes limited lower-cost, preferred pharmacies in urban areas of CT, DE, IA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NH, NJ, NY, PA, RI, SD, WY; suburban areas of CA, CT, DE, HI, IL, MA, MD, ME, MN, MT, ND, NH, NJ, NY, PA, PR, RI, VT, WV; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: DE, MA, ME, MN, MS, ND, NY; suburban areas of: MT and ND; and rural areas of: ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com
• WellCare - WellCare Health Plans, Inc., is an HMO, PPO, PFFS plan with a Medicare contract. Enrollment in our plans depends on contract renewal.
• WellCare - This information is not a complete description of benefits. Call <1-800-960-2530> TTY <711> for more information.
• WellCare - Our plans use a formulary.
• WellCare - WellCare Health Plans, Inc., is an HMO SNP plan with a Medicare contract. Our DSNP Plans have a contract with the state Medicaid program. Enrollment in our plans depend on contract renewal.
• WellCare - Every year, Medicare evaluates plans based on a 5-star rating system.
• WellCare - Out-of-network/non-contracted providers are under no obligation to treat Wellcare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
• WellCare - Medicare beneficiaries may also enroll in WellCare through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
• WellCare - For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
• WellCare - Optional: To be eligible, you must be entitled to Medicare Part A and enrolled in Part B. You must also live in this plan's service area.
• Cigna-HealthSpring - All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., Cigna HealthCare of St. Louis, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
• Cigna-HealthSpring - Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal.
• Cigna-HealthSpring - This information is not a complete description of benefits. Call 1-800-668-3813 (TTY - 711) for more information.
• Cigna-HealthSpring - Every year, Medicare evaluates plans based on a 5-star rating system.
• Cigna-HealthSpring - ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-800-668-3813 (TTY 711) 8am - 8pm local time. Translations of this alternate language tagline can be found here.
• Blue Cross and Blue Shield of Texas - Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.
• Blue Cross and Blue Shield of Texas - Medicare Advantage plans provided by Blue Cross and Blue Shield of Texas, which refers to HCSC Insurance Services Company (HISC) (HMO and PPO plans), and GHS Insurance Company (GHSIC) (HMO plans). HMO and PPO employer/union group plans provided by Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC). HCSC, HISC and GHSIC are Independent Licensees of the Blue Cross and Blue Shield Association. HCSC, HISC and GHSIC are Medicare Advantage organizations with a Medicare contract. Enrollment in these plans depends on contract renewal.
• Blue Cross and Blue Shield of Texas - Out-of-network/non-contracted providers are under no obligation to treat Blue Cross and Blue Shield of Texas members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
• Blue Cross and Blue Shield of Texas - Click Here for Important Anti-Discrimination Notice
• Amerigroup - Amerigroup Insurance Company is an LPPO plan with a Medicare contract. Enrollment in Amerigroup Insurance Company depends on contract renewal.
• Amerigroup - Amerigroup Texas, Inc. is an HMO plan with a Medicare contract. Enrollment in Amerigroup Texas, Inc. depends on contract renewal.
• Amerigroup - Amerigroup Texas, Inc. is an HMO DSNP plan with a Medicare contract and a contract with the State Medicaid program. Enrollment in Amerigroup Texas, Inc. depends on contract renewal.
• Amerigroup - Amerigroup Texas, Inc. is an HMO CSNP plan with a Medicare contract. Enrollment in Amerigroup Texas, Inc. depends on contract renewal. Amerigroup - Amerigroup Texas, Inc. is an HMO/POS CSNP plan with a Medicare contract. Enrollment in Amerigroup Texas, Inc. depends on contract renewal.
• Amerigroup - Amerigroup STAR+ PLUS MMP (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.
• Amerigroup - Amerigroup is a Medicare Advantage plan with a Medicare contract and for DSNPs also has a contract with the state Medicaid program. Enrollment in Amerigroup depends on contract renewal.
• Molina Health Care - For SNP materials: [Molina Medicare Options Plus][Healthy Advantage] HMO SNP is a Health Plan with a Medicare Contract and a contract with the state Medicaid program. Enrollment in [Molina Medicare Options Plus][Healthy Advantage] depends on contract renewal. For MAPD materials: [Molina Medicare Options][Healthy Advantage Plus] HMO is a Health Plan with a Medicare Contract. Enrollment in [Molina Medicare Options][Healthy Advantage Plus] depends on contract renewal.
• Allwell - Allwell is contracted with Medicare for HMO, HMO SNP and PPO plans, and with some state Medicaid programs. Enrollment in Allwell depends on contract renewal.
• Allwell - This information is not a complete description of benefits. Call Member Services at HMO: 1-844-796-6811; HMO SNP: 1-877-935-8023; (TTY: 711) for more information.
• Allwell - You must continue to pay your Medicare Part B premium. However, for full-dual beneficiaries, the State will cover your Part B premium as long as you retain your Medicaid eligibility.
• Allwell - Allwell complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
• Allwell - Allwell Dual Medicare (HMO SNP) is available to anyone who has both Medical Assistance from the State and Medicare.
• Allwell - Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
• Allwell - The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
• Allwell - Every year, Medicare evaluates plans based on a 5-star rating system.

General Required Disclaimers

Estimated annual savings is determined by subtracting a plan's annual cost estimate of the medications entered from the medications' average retail prices. The annual cost estimate for a plan includes covered annual monthly premiums and any annual cost sharing expenses that you must pay out-of-pocket for the medications entered. This number can only be calculated if the consumer enters medication information. When a consumer has not entered medication information, a statement will appear advising the consumer of what others in the consumer's state have saved. In the case where there is not enough state information, a national average will display. The savings number is calculated from all of the saved sessions where another consumer entered medication information and their current plan. For each saved session, we calculate the cost of each plan based on the medication entered and geographical location. The savings number is derived by comparing the cost of the plan to the cheapest plan in that geographical location and taking the average. The retail drug cost is an estimated amount based on the out-of-pocket expenses you may expect to pay in a calendar year for medications that are not covered by an insurance plan's formulary on estimated retail drug price (retail drug cost is based on national averages for a medication and assumes adherence). If you need help, please call ‭1 (888) 926-8736‬ (TTY User: 711) Mon - Fri, 8am - 9pm Sat, 10am - 7pm ET for Customer Service Representatives and licensed insurance agents who can assist with finding information on available Medicare Advantage, Medicare Supplement Insurance and Prescription Drug Plans. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. You must have both Part A and B to enroll in a Medicare Advantage plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information. You must have Medicare Part A or Part B (or both) to join a Medicare Prescription Drug plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778 or consult www.socialsecurity.gov; or your Medicaid Office. Every year, Medicare evaluates plans based on a 5-star rating system. Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days a week or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696 (or equivalent written notice). Other Pharmacies, Physicians, and Providers are available in the network. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call the Plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. The purpose of this communication is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. For Medicare Supplement Insurance Only: Open enrollment lasts 6 months and begins the first day of the month in which you are 65 or older and enrolled in Medicare Part B. Some states have an open enrollment period for eligible individuals under the age of 65, and a second enrollment period when they turn 65. If you are under 65, check with your state insurance department for guidelines. Under a contractual relationship between Med Care Plus and each insurance company issuing a policy offered by Med Care Plus, Med Care Plus earns a commission paid by the insurance company for each policy Med Care Plus sells. The commission rate varies by policy and may increase as Med Care Plus sells more policies. In some cases, Med Care Plus may earn bonus commission amounts based on criteria such as the number of policies sold.