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AmeriHealth 65® Basic

Overview

AmeriHealth 65 Basic is available to residents of the following Pennsylvania counties: Berks, Lehigh, Lancaster, Northampton and York.

Do you have Medicare and Medicaid? If so, you are entitled to choose how you get your Medicare Part D drug coverage. You can make changes even if Medicare picked the plan you're in now. With AmeriHealth 65 Basic, you'll still pay only a few dollars for your prescription drugs. You won't have a deductible or a gap in drug coverage. You will have extra health care benefits that you don't have now through Medicare. Like rides back and forth to the doctor. Cash back when you buy glasses and hearing aids. Routine foot care. And more. But you don't pay one penny extra in plan premiums.

If you are eligible for full benefits from both state and Federal Assistance programs (Medicaid and Medicare) AmeriHealth 65 Basic is the right plan for you.

About AmeriHealth 65® Basic:

AmeriHealth 65 Basic is a Medicare Advantage Special Needs Plan with a contract from Medicare. Members in this plan maintain the benefits they have now – while gaining additional benefits not typically covered by Medicare or Medicaid.

This $0 premium plan is available to beneficiaries as described above as long as they are entitled to Medicare Part A and enrolled in Medicare Part B.

Members are required to pick a primary care doctor from our large network of AmeriHealth doctors. This doctor will oversee all of your care.

Evidence of Coverage

The Evidence of Coverage is our contract with you. It explains your rights, benefits, and responsibilities as a member of our plan.

For more details on each option's benefits, features and limitations, download a 2007 AmeriHealth 65 Basic Summary of Benefits. The Summary of Benefits includes:

  • Applicable conditions and limitations of your healthcare
  • Premium information
  • Cost sharing information
  • Information regarding conditions associated with receipt or use of benefits

Download an AmeriHealth 65 Basic Product brochure.

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Important Notice

Benefits listed here are effective January 1, 2007. Benefits, formulary, pharmacy, network premiums and/or copayments/coinsurance may change on January 1, 2008. Please contact AmeriHealth 65 Basic for details.