Medicare coverage can be a confusing and intimidating subject for patients
approaching Medicare eligibility. It?s important that patients are
well-informed and take the right steps to get the Medicare coverage they need.
When you and your patients discuss Medicare, please keep in mind that a patient
who inquires about AmeriHealth coverage can be provided with information and
resources related to Medicare coverage options provided by AmeriHealth.
Medicare information for your patients
The AmeriHealth Medicare website,
www.amerihealthmedicare.com, is
available to help patients understand Medicare and guide them through the
process of enrolling in the AmeriHealth Medicare Advantage and prescription
drug plans. The website features plan details, prescription drug information,
enrollment forms, and a helpful Medicare Basics section that includes general
Medicare information. Patients can also call
1-800-898-3492 (for the hearing-impaired:
1-877-219-5457) for information about AmeriHealth
65
® NJ HMO.
For more information about AmeriHealth Rx Prescription Drug Plan (PDP),
patients should call
1-866-456-1695 (for the
hearing-impaired:
1-866-456-1683)
AmeriHealth plans
Between our Medicare Advantage, Medicare Supplement, and prescription drug
plans, AmeriHealth provides health care coverage for thousands of Medicare
members. We take pride in being a local plan that our members know and trust.
Currently, we offer three plans that cover all of the benefits of Original
Medicare, plus more:
AmeriHealth 65 NJ medical-only HMO.* This is a medical-only Medicare Advantage
plan.
AmeriHealth Rx PDP (Options I and II).** Both options of this Medicare
Advantage plan offer prescription drug coverage.
AmeriHealth 65 NJ Rx HMO.* This Medicare Advantage plan, designed for Medicare
beneficiaries, has both medical and prescription drug coverage.
Note: There are different eligibility requirements and enrollment periods for
Medicare and MediGap that vary with each individual?s circumstance. To
determine when they are eligible to enroll, patients can call Medicare at
1-800-MEDICARE (for the hearing-impaired:
1-877-486-2048) or visit
www.medicare.gov.
As per Medicare rules, patients are allowed to be enrolled in only one Medicare
Advantage or Medicare prescription drug plan. Enrollment in a new plan will
cause disenrollment from any other existing Medicare plan.
Medicare information for providers
To help you easily locate and disseminate AmeriHealth information related to
our Medicare coverage, we recently added several resources for providers within
the Administrative Tools & Resources section of NaviNet
® Plan
Central to assist your Medicare-eligible patients. These resources include:
AmeriHealth 65 NJ HMO enrollment form;
AmeriHealth Rx PDP Medicare PDP enrollment form;
a link to amerihealthmedicare.com;
a link to the updated Medicare Advantage Drug Formulary.
If you are not yet NaviNet-enabled at your office location, register by going
to
NaviNet and selecting
Sign up from the top right. Providers without access to NaviNet can obtain
paper copies of the Medicare enrollment forms by calling Customer Service at
1-800-275-2583.
NaviNet® is a registered trademark of
NaviNet, Inc.