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Medicare
Heart of America Health Plan is a Medicare approved Cost Plan. Many
Medicare beneficiaries find that managed care cost plans are a good
way to get more health care for their dollar. Heart of America
Health Plan (HAHP) will provide or arrange for all Medicare covered
services. This means if you join a managed care cost plan and get
all of your services through the Heart of America Health Plan, your
out-of-pocket costs are usually more predictable. Also, depending on
your health needs, those costs may be less than you would pay if you
were liable for the regular Medicare deductibles and co-insurance
amounts.
What are the advantages of managed care cost plans?
• No Medicare deductibles – only monthly premiums
• No claim forms and virtually no paperwork for you
• Local administration
• Predictable expenses – so you can easily budget your health
care dollars
• No health screening, waiting periods or pre-existing
condition clauses
Obtaining membership:
To be eligible for membership in HAHP you must be entitled to
Benefits under Medicare Parts A & B or Part B only. You must reside
within the specified HAHP service area. You must not be receiving
any Hospice Care or currently have end-stage renal disease. There
may be exceptions to these requirements. HAHP offers continuous open
enrollment. Please contact our office if you wish to enroll or click
on the Enrollment Form and Instructions link. (see
below)
How to enroll
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Call Heart of America Health
Plan (HAHP) at 701.776.5848, 1.800.525.5661, 1.800.366.6888
(TTY) and request an enrollment form
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OR, download the
Cost Plan Enrollment form on this site, complete it and mail
or fax it to HAHP
Please
review the
Summary
of Benefits before enrolling.
For
coverage terms, exclusions, contract termination, members’ rights
and responsibilities, and other information, please refer to the
2012 Evidence of
Coverage.
Receiving care once you are enrolled:
The Heart of America Health Plan coordinates its benefits with
traditional Medicare coverage. As a member of the HAHP, you must
receive all of your primary medical care through one of the HAHP’s
Plan Physicians, except in the case of an emergency or urgent care
out of the service area. Plan physicians can be found under the
Provider Directory link. (see below)
If as a member of HAHP you need specialty care, you must obtain a
referral from your primary care physician prior to receiving the
specialty care. You can click the Referral Form link to see a sample
of a referral form. (see below)
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H3503_201108 CMS Approved 1/04/2012
Heart of America Health
Plan, 810 S Main,
Rugby, ND 58368
701.776.5848,
1.800.525.5661, 1.800.366.6888 (TTY)
Hours of operation:
Monday through Friday, 8:00 am to 5:00 pm
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