Tag Archives: POS

Happy Medicare New Year

Steps to a Happy “Medicare” New Year

Winter preparations are done. Winter festivals have ended, and end-of-year holiday celebrations are over. Just when you think you can sit back and relax, there is still one last item you may need to consider.

If you made any Medicare changes during the past Annual Enrollment Period (October 15 to December 7), there are some actions you can take that may help you have a happy Medicare new year.

If you enrolled in a new plan or your plan had changes during the Annual Enrollment Period, you should make sure you’ve received your new member ID card. This card contains the newest info for your 2019 care. Be sure to show your new ID card to the doctor’s office and pharmacist on your first visit of the new year so that they have your newest information on file. It’s also worth mentioning that with the new cards for the new year can come new deductibles (depending on the plan you choose), which start over at the beginning of the year.

If you decided to stay with Original Medicare, you’ll still use your Medicare card for hospital and doctor services. If you have not received the new Medicare card that the Centers for Medicare and Medicaid Services began issuing in April 2018, be on the lookout because they are all scheduled to be mailed by April 2019.

If you joined a Medicare prescription drug plan that works with Original Medicare, then the plan will mail you a card so you can fill your prescriptions. If you joined a Medicare Advantage plan (like an HMO, PPO, or POS), you’ll also get a new card to use for both healthcare visits (doctor and hospital) and for picking up your prescriptions.

If you need medical care or need to fill a prescription before you receive the ID card but after the effective coverage date, you may be able to use other proof of plan membership. Some examples are the welcome letter you got from the plan or even your enrollment confirmation number and the plan name and phone number.

If you elected to have your plan premium withheld from your Social Security check, don’t be alarmed if you don’t see it deducted right away. It may take up to 3 months from the time you made the premium withhold request before you start seeing your premium withheld from your Social Security payment.

The 2019 year is a great time to take advantage of your one-time “Welcome to Medicare” or annual wellness visit your plan offers to you. This benefit is usually no cost to you! It is designed as a preventive measure to help you take charge of your health, be advised of future needed preventive services, and establish a baseline for personalized care. And speaking of preventive measures, many Medicare Advantage plans come with a fitness benefit or provide access to physical fitness activities at no cost to you.

I wish you all a happy and healthy 2019!

Morgan Gunder is a community and broker liaison for Reid Health Alliance. Born in the South and raised in the Midwest, she is a wife and mother with a passion for traveling, learning, and technology.

Finding Doctors & Personalized Care

Finding Doctors Made Easy

Finding doctors and care that’s covered on your plan, like from a Primary Care Physician (PCP) or a clinic in your service area, is key to helping us pay for the care you get.

For some plans, like HMOs, you must go to a doctor in your provider network. And for some plans, like PPOs, although you can go to out-of-network doctors, going to doctors in your plan’s network can help you save.

Log In

The best way to find doctors in your network is to log in to Your Health Alliance, our one-stop member website. If you’ve never used Your Health Alliance before, you’ll have to register for an account first.

On Your Health Alliance, when you choose Find a Doctor or Hospital from the very top menu on your dashboard, you’ll see a list of all the providers you can use on your plan. From there, you can filter these or search by doctor or hospital name to find what you’re looking for.

Plan Details Search

If you can’t log in to Your Health Alliance, you can also find a doctor by looking at your plan’s network through our Plan Details Search.

You can find this feature by choosing learn how to use your benefits on HealthAlliance.org’s home page. This takes you to our Member Benefits & Forms page. The first bullet under Using Your Benefits, What Your Plan Covers, will take you to the search.

On the search, you just need to enter your member number from your ID card to see a list of all your plan’s documents, which will include your network of doctors. You can find your member number here:

Finding Your Member Number

Finding Doctors

You can also search for doctors on HealthAlliance.org. Choose Find a Doctor from the top menu to start your search.

Once you’re here, you can search for your network or by a doctor’s name, or you can look at a list of all our directories.

The best way to find your network is to search with your member number from your ID card. (The above image can help you find your member number.)

Or you can find your network by choosing your state and plan type and directory. If you have our insurance through your employer, you’ll choose employer groups. If you’re on a Medicare plan, you’ll choose that. If you shopped for and bought our insurance for yourself (and it’s not a Medicare plan), you’ll choose individual and families from the list.

Then you’ll choose your directory. Your directory is based on what type of plan you have. If you or your employer bought your plan from a public exchange, like Healthcare.gov or a state exchange, it will say public in your directory name. If you bought it directly from us, it will say direct.

It will also say your plan type, like HMO, PPO, or POS. If you bought a plan in a specific market, like Riverside or Methodist, it might say that, too. Your plan policy or plan documents can tell you what the name of your plan is to help you know which plan type you have.

Once you’ve chosen one of these, you can also add filters, like doctor or location info, to find certain providers.

Now that you’ve searched and found your network, you’ll see details for each of the doctors in your plan’s network, like address, if they’re taking new patients, and more. You can also add filters at this point to narrow your search.

And if you’re shopping for a new plan, we’ve made it easy to find doctors on those plans by connecting you to their networks while you’re shopping.

Still need help finding doctors or have questions about our providers? It’s no problem! Our Customer Service is here to help! Just contact us.

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