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Frequently Asked Questions
Select Advantage
1. How does Select Advantage work?
2. If I choose a medical-only option, can I join a different Medicare drug plan?
3. Do I have to choose my doctors from a network or get referrals?
4. Can the doctor or hospital charge me extra?
5. I travel a lot. Is my coverage good outside of Pennsylvania?
6. What resources do you have for managing health conditions like asthma?
7. How do I know if the medications I take are covered?
8. I already have a Medicare Advantage plan. How do I switch to Select Advantage?
9. Do I have to file claims with Select Advantage?
10. What if I have Select Advantage coverage through my employer?
11. How can I get more information?
12. Can I get an information packet sent to me in the mail?
13. Do I qualify for low-income subsidy?
top of page1. How does Select Advantage work?
Select Advantage helps cover the “gaps” in coverage usually associated with having just Original Medicare alone, and gives you flexibility when it comes to doctor and hospital choice. It includes extra benefits like a free fitness center membership, preventive care, and vision and hearing services. You can also get built-in Medicare Part D prescription drug coverage with a Select Advantage plan.
2. If I choose a medical-only option, can I join a different Medicare drug plan?
No. If you enroll in Select Advantage, you must get Medicare Part D prescription drug coverage through the plan.
3. Do I have to choose my doctors from a network or get referrals?
No. With Select Advantage, there are no network requirements and no referrals. As long as your doctor is willing to accept the payment terms and conditions of the plan, you may use any provider who would otherwise be paid by Medicare. (You must let doctors and hospitals know ahead of time that you have Select Advantage.)
4. Can the doctor or hospital charge me extra?
No. If you inform health care providers about your Select Advantage coverage and they agree to the terms, conditions, and payment rate, they cannot bill you for covered services.
5. I travel a lot. Is my coverage good outside of Pennsylvania?
Yes. This is coverage that goes where you go — it is not confined to the Greater Philadelphia region. You’re covered with full benefits throughout the United States.
6. What resources do you have for managing health conditions like asthma?
If you have asthma, diabetes, or another chronic condition, you can get the one-on-one support you need to manage your health through ConnectionsSM Health Management Programs. You’ll have access to a Health Coach you can talk to anytime day or night, seven days a week.
7. How do I know if the medications I take are covered?
A formulary — the list of drugs covered by the plan — is included. We’ve negotiated special prices with drug companies for the medications in our formulary. Review the formulary.
8. I already have a Medicare Advantage plan. How do I switch to Select Advantage?
It’s easy. Select the plan you want, complete the enrollment form, and mail it in the postage-paid envelope provided. You can be in only one Medicare Advantage plan at a time. By signing up for Select Advantage, you will be disenrolled from any Medicare Advantage or Medicare Prescription Drug Plan when your Select Advantage coverage begins.
9. Do I have to file claims with Select Advantage?
With our automatic claims filing, there is virtually no paperwork for you to worry about. In most cases, you simply present your Select Advantage ID card.
10. What if I have Select Advantage coverage through my employer?
If you have coverage through your former or current employer, Health and Welfare Fund, or Association Group, your benefits may vary. Call toll-free at 1-877-393-6733 (TTY/TDD: 1-877-219-5457), 8 a.m. to 8 p.m., seven days a week for more information.
11. How can I get more information?
Feel free to call us toll-free at 1-877-393-6733 (TTY/TDD: 1-877-219-5457), 8 a.m. to 8 p.m., seven days a week. You can also request a home visit or attend one of our seminars at a location near you (check our calendar for dates). For accommodations for persons with special needs, or to make a reservation, call the number above.
12. Can I get an information packet sent to me in the mail?
Yes. Submit an online request to receive an information packet in the mail.
13. Do I qualify for low-income subsidy?
If you have limited income and resources, you may qualify for low-income subsidy. When you join Select Advantage, 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/7 days a week
- Pennsylvania Office of Medical Assistance Programs (Medicaid) at 1-717-787-1870
- 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