These plans are available for business to offer their Medicare-eligible employees and retirees. The Summary of Benefits, Evidence of Coverage, and other information below explain the details about each plan.
Service area: You must live in Brevard County or Indian River County in Florida to enroll in these plans.
Summary of Benefits — These booklets explain general information about the plans we have for employer groups and compares them to original Medicare. They also include information about premiums, cost sharing, out-of-network coverage, any limitations, and more.
Annual Notice of Change —These documents explain the changes that happened from last year to this year:
Evidence of Coverage —These documents contain the most detailed information about the Group plans:
Comprehensive formulary — a complete list of covered drugs
Mail order prescriptions from Health First Family Pharmacy
Mail order prescriptions from MedVantx
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call:
Printable provider (physician/pharmacy) directory — includes information about authorizations, our network of doctors, ancillary services like labs, fitness centers, etc., and also pharmacies
Please refer to your Evidence of Coverage (EOC) for more details about these topics, as well as your rights and responsibilities upon disenrollment:
For more information about our quality assurance policies and procedures or to obtain an aggregate number of the our grievances, appeals, and exceptions, contact customer service.
If your employer (or former employer) offers Health First Health Plans as part of their employee or retiree benefits, check with them for details on how and when to enroll. They may prefer you send your completed enrollment form (and premium payment if necessary) to them. If they ask you to contact us directly to enroll, please follow these instructions.
Y0089_MP3798 CMS Approved 03242014
Last updated: 02/13/2014