Benefits

• Summary of Benefits - For people who don't need prescription drug coverage, this booklet compares general information about our plan with Original Medicare. It also includes information about premiums, cost sharing, out-of-network coverage, any limitations, and more.

• Evidence of Coverage - Detailed information about the Secure plan

Prescription drug information

The Secure plan does not include coverage for Part D prescription drugs.

If you're interested in a plan that does include Part D prescription drug coverage, please consider one of our other options:

• Premier / Classic / Value - for individuals
• Groups - for retirees covered through their employers
• Sunshine - for people who have both Medicaid and Medicare

Provider directory

• Search for physicians
• Printable directory - includes information about authorizations, our network, and ancillary services (labs, fitness centers, etc.)

How to enroll

Enrolling in Health First Medicare Plans is easy. Just complete the enrollment form and sign it. You can mail it to us, drop it off at our office, or we can pick it up from you. Please include your premium payment. Our address is:

Health First Health Plans
6450 US Highway 1
Rockledge, FL 32955
Map

You can also call 1-800-MEDICARE and enroll over the phone.

For most people, enrollment is open from November 15 to December 31 each year. And from January 1 to March 31, there are limits on when and how often you can change your coverage. There are exceptions, so please contact customer service for more information.

To be eligible to enroll, be entitled to Medicare Part A and enrolled in Part B, and continue to pay your Part B premium if not otherwise paid for under Medicaid or by another third party, and live in our service area. Once we verify your eligibility with Medicare, your coverage will become effective the first day of the month after we receive your enrollment form.

Health First Health Plans is a Medicare Advantage organization with a Medicare contract. Our contract is renewed annually, and coverage beyond the current contract year is not guaranteed. You must use network providers except for emergencies, urgent care, or out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor Health First Medicare Plans will be responsible for the cost.

• Enrollment form

Member forms

• Vision, dental, and hearing reimbursement form
• Plan option change form

Last updated: 4/22/2008

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