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Eligibility
 

Eligibility Map

To be eligible to enroll in an OSF HealthPlans Medicare Advantage (MA) plan:

  1. You must have Medicare Parts A and B.
  2. You must live in the OSF MA Service Area.
    (see the map above)
  3. You cannot have End Stage Renal Disease (ESRD)
    at the time of enrollment unless you are currently a
    member of OSF HealthPlans.
  4. You cannot enroll in the OSF Care Preferred Rx or
    OSF Care Preferred Rx Plus plan if your current or
    former employer helps pay for your drugs. However, you
    can enroll in the OSF Care Preferred Basic Rx plan or
    OSF Care Preferred employer group plans that have the
    same benefits as the individual OSF Care Preferred Rx or
    OSF Care Preferred Rx Plus.

All Medicare Beneficiaries may be eligible to apply, including the disabled.

Your enrollment in our MA plan does not require a physical or health exam plans.

Eligibility Limitations
You must live in one of these counties to join this plan. If you move
into a county not listed above, please call Member Services to find out if OSF HealthPlans Care Advantage or Care Preferred has a
plan in your new county.

There is more than one plan listed in this website. If you are enrolled in one and wish to switch to another, you may do so only during certain times of the year.

If you have questions, please call Member Services at 309-677-8203, toll free 1-877-677-8203 or for the hearing and speech impaired (TTY) 888-817-0139.  Our business office hours are Monday through Friday 8am to 5pm. Our business phone hours are 24 hours a day, 365 days a year.

Low Income Subsidy Information
If you qualify for extra help, you pay $0 or a reduced monthly premium.  If you continue to qualify for the same amount of extra help next year, the table below tells how much your will pay for a monthly premium. (This does not include any Medicare Part B premium you may have to pay.)

You may receive (or may have received) a letter from Medicare or the Social Security Administration (SSA) about your eligibility for extra help in 2008.  Read this important information carefully. (If you don’t know what level of extra help you qualify for, you can call 1-800-MEDICARE (1-800-633-4227) for this information.  TTY/TDD users should call 1-877-486-2048.  They are available 24 hours a day, 7 days a week.)

As an enhanced benefit, OSF Care Advantage or Care Preferred offers additional coverage on some prescription drugs not normally covered in a Medicare Prescription Drug Plan.  If you receive extra help from Medicare in paying for your drugs, you will NOT receive this extra help for these particular drugs.

The premiums listed below are for both medical and prescription drug benefits.

Your level of extra help Monthly Premium for OSF Care Advantage Basic Rx
100% $62.60
75% $68.20
50% $73.80
25% $79.40
Your level of extra help Monthly Premium for OSF Care Advantage Rx
100% $91.70
75% $99.30
50% $106.90
25% $114.40
Your level of extra help Monthly Premium for OSF Care Advantage Rx Plus
100% $104.70
75% $148.30
50% $155.90
25% $163.40
Your level of extra help Monthly Premium for OSF Care Preferred Basic Rx
100% $59.80
75% $64.60
50% $69.40
25% $74.20
Your level of extra help Monthly Premium for OSF Care Preferred Rx
100% $94.70
75% $102.30
50% $109.90
25% $117.40
Your level of extra help Monthly Premium for OSF Care Preferred Rx Plus
100% $163.70
75% $171.30
50% $178.90
25% $186.40

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Everything is a click away

7915 N. Hale Avenue - Suite D - Peoria, Illinois - 61615

Toll Free Member Services  877-677-8203     ·      Toll Free Sales  877-677-8205
TTY (Hearing/Speech Impaired)  888-817-0139
Our business office hours are Monday through Friday 8am to 5pm.
Our business phone hours are 24 hours a day, 365 days a year.

Based on Catholic Ethical and Religious Directives OSF Care Advantage/Care Preferred will not cover certain Medicare covered benefits. For a complete list of excluded benefits, you can contact OSF Care Advantage/Care Preferred Member Services Toll-free at 877-677-8203 or TTY/TDD 888-817-0139. To the extent these services are covered by Medicare, they will be covered under Original Medicare. Please contact Member services, for detailed information about how these services may be covered by Original Medicare. Our business office hours are Monday through Friday 8am to 5pm. Our business phone hours are 24 hours a day, 365 days a year.


OSF HealthPlans is a Medicare Advantage organization
offering health plans with a Medicare contract.