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To be eligible to enroll in an OSF HealthPlans
Medicare Advantage (MA) plan:
- You must have Medicare Parts A and B.
- You must live in the OSF MA Service Area.
(see the map above)
- You cannot have End Stage Renal Disease (ESRD)
at the time of enrollment unless you are currently a
member of OSF HealthPlans.
- 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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