Medicare Matters. Amerihealth 65 for medicare Beneficiaries

AmeriHealth® Advantage

Basic eligibility requirements

Effective January 1, 2008

Medicare Part D prescription drug plans are available to anyone who is eligible for Medicare in the United States, regardless of age, income, or health conditions. You must live in the service area of the plan you join. Participation is voluntary.

In order to be eligible:

  1. You must be entitled to Medicare Part A and enrolled in Medicare Part B.
  2. Continue to pay your Medicare Part B premiums (and Part A, if applicable) unless they are otherwise paid for by Medicaid or by another third-party.
  3. You must be a resident of Pennsylvania or West Virginia.

You may be enrolled in only one Part D plan at a time. If you are enrolled in a Medicare Advantage (HMO or PPO) plan, you may not enroll in a prescription drug plan (PDP) unless you are a member of a Private Fee-For-Service MA (PFFS) plan that does not provide any of the following:

  • Medicare prescription drug coverage;
  • a Medical Savings Account MA (MSA) plan;
  • an 1876 Cost Plan.

If you have limited income and resources, you may qualify for a Download PDF low-income subsidy. When you join, Medicare will tell us how much extra help you are getting. Then we will let you know the amount you will pay. If you qualify, your drug costs will also be lower.

You can see if you qualify for a low-income subsidy by calling:

  • 1-800-MEDICARE (1-800-633-4227) (TTY/TDD: 1-877-486-2048), 24 hours a day, seven days a week
  • Your State Medicaid Office
  • The Social Security Administration at 1-800-772-1213 (TTY/TDD: 1-800-325-0778), 7 a.m. to 7 p.m., Monday through Friday

Please note: In some cases, Medical Assistance copays will apply.

For additional information, read our Frequently Asked Questions about Medicare Part D.

Ready to Enroll? Continue to Enroll Now.

AmeriHealth Advantage prospective members should call 1-866-456-1695 (TTY/TDD 1-866-456-1683) 8 a.m. to 8 p.m., seven days a week, for questions related to the product.