Medicare Matters.  Amerihealth 65 for medicare Beneficiaries

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. But you will have extra health care benefits that you don’t have now through Medicare, such as rides back and forth to the doctor, coverage for glasses and hearing aids, routine foot care, and more. And you won’t pay one penny extra in plan premiums.

If you are eligible for full benefits from both state and federal assistance programs (Medicaid), AmeriHealth 65 Basic is the right plan for you.

About AmeriHealth 65® Basic

AmeriHealth 65 Basic is a Medicare Advantage HMO Special Needs Plan with a Medicare contract. 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.

For more complete information, see the PDF icon Benefit and Plan Choices Brochure.

Refer to your Download PDF 2008 AmeriHealth 65 Basic Summary of Benefits or Download PDF Evidence of Coverage for:

  • applicable conditions and limitations of your healthcare;
  • premium information;
  • cost-sharing information;
  • information regarding conditions associated with receipt or use of benefits.

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.

Download PDF AmeriHealth 65 Basic Evidence of Coverage, Your Member Handbook

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Important Notice

Benefits listed here are effective January 1, 2008. Benefits, formulary, pharmacy, network premiums, and/or copayments/coinsurance may change on January 1, 2009. Please contact AmeriHealth 65 Basic for details.