Medicare Advantage FAQs

Choosing a health plan is not as easy as it once was. The costs, coverage, and out-of-pocket maximum are important, but just as important are the doctors, hospitals covered in the provider network, and the plan's quality ratings. Before you enroll in a plan, make sure you're not trading quality, service, and the doctors and hospitals you trust for premiums and copayments that seem too good to be true.

For Medicare Advantage (MA and MA-PD) plans

To be eligible to enroll, you must:

• Live in our service area (Brevard, Flagler, Hardee, Hernando, Highlands, Indian River, Lake, Orange, Osceola, Pasco, Polk, Seminole or Volusia County in Florida) six months of the year, and
• Be entitled to Medicare Part A and enrolled in Medicare Part B, and
• Continue to pay your Part B premium unless otherwise paid for by Medicaid or another third party

Once we verify your eligibility with Medicare, your coverage will become effective the first day of the month.

Please contact us for more information.

When can I enroll?

How do I enroll?

Most changes in coverage need to occure during the Annual Enrollment Period (AEP) from October 15 to December 7. 

In an effort to ensure you are enrolled in plans that best suit your needs and budget, CMS will allow you to make a one-time change into another Medicare Advantage (MA) plan or Original Medicare between January 1 and March 31, called the Open Enrollment Period (OEP). If you elect for this option, you may also make a coordinating change to add or drop Part D coverage.

There are also special situations that may qualify you to change your coverage during other times of the year (for example moving to another area). Please contact us for more information.

Medicare Advantage Disenrollment Form

Member Disenrollment Rights & Responsibilities