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Medicare Advantage (supplementary Medicare plans) are almost ALL from the government. But Erickson Retirement Communities was allowed to provide 1st such program...and I wrote the copy. Here are a few pages.
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TheresponsetoEricksonAdvantage©hasbeentrulyexciting.Morethan1,000residentshavealreadysignedontoEricksonAdvantage©,aMedicareAdvantagehealthinsuranceplandesigned with the needs of Erickson residents in mind.
Inadditiontohealthinsurancecoverage,EricksonAdvantage©hastwospecialexpertsforourmemberstoutilize.
• A Nurse Care Coordinator to act as a liaison between members and hospitals
• A Member Services Representative to help resolve your Erickson Advantage© insurance questions
Wehaveprovidedtheseservicestoourmembers...rightwheretheylive!
Experienced Geriatric Health Care
PLUS,EricksonAdvantage©stillfeaturesitshallmarkbenefitformembers:healthcaredeliveredbyErickson Health® doctors and nurses.Theyareateamthattrulyunderstandsyourspecifichealthcareneeds.
JoiningEricksonAdvantage©issimple.AtyourEricksoncommunityyouwillfindanEricksonAdvantage©representativereadytoansweryourquestions.ReadonandfindoutmoreaboutEricksonAdvantage©.
hy You Should Try Erickson Advantage® Now?W
My Erickson Representative was very good, very clear. I could understand what he was talking about. –Nancy Brecht, Erickson Advantage® Member
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Here is a look at just a few of the many advantages of your Erickson Advantage® plan:
The Erickson Advantage® health plan offers multiple health insurance plan options, because Erickson Advantage® recognizes you have individualized insurance needs. Ask your Erickson Advantage® representative for details.
Nurse Care Coordinator—Like having your own private nurse.
Ineachcommunity,youwillfindanursecarecoordinatoraspartoftheEricksonAdvantage®program.Thisskilledprofessionalprovidesawiderangeofservices,in-cludingpreparingyouforupcomingmedicalprocedurestoansweringyourquestionsondifferenthealthissues.
AfewofthewaysyourEricksonAdvantage®NurseCareCoordinatorsupportsyou: a.YourNurseCareCoordinatorprovidesinformationandeducationonavariety
ofconditionsandhealth-relatedissues.Youdon’talwaysneedtowaitforyourdoctor.
b.YourNurseCareCoordinatorwillansweryourquestionsandhelpprepareyouforupcomingmedicalprocedures.
c.YourNurseCareCoordinatoractsasyourhospitalliaison.Thatmeanshelpingyougetreadyforanyhospitaladmissions,andspeedingyourwayhome(ortopost-hospi-talcare)whenitistimeforyoutobedis-charged.
Member Services Representative—Your personal health insurance liaison.
Imaginenothavingtowaitonthephonetogetyourquestionsanswered!Whatifinsteadyoucouldsimplystrolldownthehallorcall,presentyourquestiontoamemberservicerepresentative,whoservicesEricksonAdvantage®membersonly—secureintheknowledgethattherepresentativewillhandlethatquestionquicklyandefficiently?
Reasons to Find Out More About Erickson Advantage®6
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Soundimpossible?NotifyouareanEricksonAdvantage®member.IfyoueverexperienceaproblemorquestionregardingEricksonAdvantage®reimbursements,referrals,orbilling,justcallorstopbyyourMemberServicesRepresentitiveon-siteofficeandyouwillbetakencareof.
Transportation off-site to approved medical facilities.
Prescription drug option.
EricksonAdvantage®hasplansavailabletoyouwhichofferprescriptiondrugcoverage.AskyourEricksonAdvantage®
Representativefordetails.
Accent on preventive care.
EricksonAdvantage®emphasizespreventinghealthproblemsfromdeveloping,notjusttreatingthemaftertheyarise.Itdoesthistwoways:
a.Preventiveprograms
b.Coverageforawidevarietyofpreventivetestsandvaccinationsincluding:
I’d be spending more if I had not enrolled in Erickson Advantage®, not just on prescriptions, but the transportation to and from the doctor.
—Frank Brown, Erickson Advantage® Member
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All of this—and more—is delivered by Erickson Health®
doctors and nurses with specific expertise in your unique health care goals.
•BloodPressureMonitoring
•DiabetesMonitoring
•Papsmear/PelvicExams
•FluShots
•PneumoniaVaccine
•BoneTesting
•ColorectalScreening
•Mammography
•ProstateScreening
•HepatitisBVaccine
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uestions & nswers About Erickson Advantage®
Q A
Who can join Erickson Advantage®?
EricksonAdvantage®isonlyavailabletoEricksonRetirementCommunityresidents.AswithotherSupplementalandAdvantagePlans,youmustbeentitledtoPartAandenrolledinPartB.YoumustcontinuetopaytheMedicarePartBpremium. EnrollingwithusdoesnotaffectyourMedicaideligibility.Personswithend-stagerenaldiseaseatthetimeofapplica-tionarenoteligible,exceptundercertaincircumstances.
QA
My Erickson Advantage® representative was very good, very clear. I could understand what he was talking about.
—Nancy Brecht, Erickson Advantage® Member ”“
How do I find out more about Erickson Advantage® and see if it is right for me?
FindingoutmoreaboutEricksonAdvantage©isaseasyasastrolldowntoyourEricksonAdvantage©office.
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If I chose not to join the health plan, can I still go to the community Medical Center?
Yes,allEricksonresidentscanutilizetheservicesprovidedatthemedicalcenter.
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Q
Who provides care to Erickson Advantage® members?
EricksonAdvantage®hasanetworkofphysicians/providersinadditiontotheprimarycarephysi-ciansatEricksonMedicalCenters.Youmaygotooutofnetworkphysicians/providersbutyouwillpaymore.Toreceivepreferredbenefits,membersmustuseournetworkofphysicians/providers.
QA
Erickson Advantage® is sensible, it is client-centered, and it makes good sense financially all the way around.
—Anne Blackburn, Erickson Advantage® member
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If you have any problem you can always go to your Member Services Representative and they will find the answer. I can’t say enough good things about my Member Services Representative. She is sweet and calm, always ready to help.
— Doris Turner, Erickson Advantage® Member”“
ind Out More Today
www.EricksonAdvantage.com
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Signing up for the Erickson Advantage® plan was very easy.
—Douglas Smith, Erickson Advantage® member
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Your helpful Erickson Advantage® Representative will be happy to answer any questions you have and help you decide if the plan is right for you…because Erickson Advantage® might be the health plan answer you have been looking for.
For more information on Erickson Advantage® stop by the office or call <local number>, TYY 1-888-685-8480 Monday – Friday 8:30 a.m. – 5:00 p.m. (local time).
Note:ThesearejustsomeofthehighlightedbenefitsavailablethroughEricksonAdvantage®.PleaserefertotheSummaryofBenefitsforadescriptionofbenefits.
Thisdocumentisavailableinalternativeformats.UnitedHealthCareInsuranceCompany’scontractwithCMSisrenewedannually(January1).Availabilityofcoveragebeyondtheendofthecurrentcontractyearisnotguaranteed.
YoumustbeenrolledinMedicarePartAandPartBandyoumustcontinuetopayyourMedi-carePartBPremiumifnototherwisepaidforunderMedicaidorbyanotherthirdparty.EricksonAdvantage®isavailabletoallMedicarebeneficiariesresidinginCharlestown,OakCrest,Riderwood,Greenspring,Ann’sChoice,Seabrook,CedarCrest,LindenPonds,BrooksbyVillage,HenryFordVillage,FoxRun,MonarchLanding,Sedgebrook,HighlandSprings,Eagle’sTrace,MarisGroveandoth-ercommunitiesbuiltandmanagedbyErickson.ToobtainpreferredEricksonAdvantage®benefits,youmustreceiveprimarymedicalcarefromanCharlestown,OakCrest,Riderwood,Greenspring,Ann’sChoice,Seabrook,CedarCrest,LindenPonds,BrooksbyVillage,HenryFordVillage,FoxRun,MonarchLanding,Sedgebrook,HighlandSprings,Eagle’sTrace,MarisGrovephysician.Yourcostsmaybehigherifyouusenon-planproviders.Notallbenefitsareavailablefromnon-planproviders.Yourabilitytoenrollmaybelimitedtocertaintimesoftheyear.Formoreinformationcontactcustomerservicesat,1-800-704-7839.TTYuserscancall,1-888-685-8480.MondaythroughFriday,8:30a.m.to5:00p.m.Localtime.
TheMedicarePrescriptionDrugBenefitisonlyavailabletoenrolleesofthisEricksonAdvantage®MA-PDplan.IfyouarealreadyenrolledinaMA-PDplan,youmustreceivetheMedicarePrescriptionDrugBenefitthroughthatplan.
Toreceivethehighestlevelofbenefityoumustusecontractednetworkpharmaciestoaccessyourprescriptiondrugbenefitexceptinthecaseofemergency.Youmayobtainyourprescriptionsfrompharmaciesoutsidethecontractednetworkatareducedbenefit.Thepharmacynetworkincludesmorethan50,000pharmaciesnationwideincludingretail,mailorder,long-termcare,homeinfusionandI/T/U(IndianHealthService,TribesorUrbanIndian)pharmacyservices.Forinformationaboutmailorder,namesandaddressesofnetworkpharmaciesorformoreinformationcall1-800-704-7839.TTYuserscancall,1-888-685-8480.MondaythroughFriday,8:30a.m.to5:00p.m.localtime.Orwriteus
atEricksonAdvantage®,P.O.Box459018,Sunrise,FL,33345-9018.Orgotowww.EvercareHelathPlans.com
MedicarebeneficiariesmayenrollinEricksonAdvantage®throughthecentersforMedicareandMedicaidServicesOnlineEnrollmentCenter,locatedatwww.medicare.gov.Formoreinformation
contactEricksonAdvantage®at1-800-704-7839.TTY1-888-685-8480MondaythroughFriday,8:30a.m.to5:00p.m.localtime.
IfyouqualifyforextrahelpwithyourMedicarePrescriptionDrugPlancosts,yourpremiumand
drugcostswillbelower.WhenyoujoinEricksonAdvantage®,Medicarewilltellushowmuchextrahelpyouaregetting.Thenwewillletyouknowtheamountyouwillpay.Youmaybeabletogetextrahelptopayforyourprescriptiondrugpremiumsandcosts.Toseeifyouqualifyforgettingextrahelp,call:1-800-MEDICARE(1-800-633-4227).TTY/TDDusersshouldcall1-877-486-2048,24hrsaday/7daysaweekoryourStateMedicaidOffice,ortheSocialSecurityAdministrationat1-800-772-1213between7a.m.and7p.m.MondaythroughFriday.TTY/TDDusersshouldcall1-800-325-0778.
EricksonAdvantage®isaMedicareAdvantagedemonstrationprojectadministeredbyEvercare,offeredbyUnitedHealthCareInsuranceCompany,aMedicareAdvantageorganizationwithaMedicarecontract.
M0011_E_060830_63 CMS 09/06
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