A Healthy CollaborationSM

Disclaimers

Today’s Health is available to person’s enrolled in Medicare Part B and entitled to Part A by age or disability Milwaukee, Ozaukee, Racine or Waukesha counties. You must continue to pay your Part B premium. Today’s Health is a Medicare-approved Medicare Advantage HMO plan offered through Abri Health Plan, Inc. Today’s Health is administered by Heritage Health Systems, Inc., a member of the Universal American family of companies. Today’s Health contracts with the Federal government.

Enrollment Limitations

Members may enroll only during specific times of the year. Contact Today’s Health at 1-866-400-4459 (TTY for the hearing impaired: 1-866-338-4681) 8 AM to 8 PM local time, 7 days a week to obtain more information.

Potential for Contract Termination

The Today’s Health benefit package, premiums, co-payments and service areas are all subject to change annually at Today’s Health contract renewal time with the Centers for Medicare and Medicaid Services (usually January 1). Availability of coverage beyond the end of the current contract year is not guaranteed.

Availability of Medicare Subsidy Information

Beneficiaries interested in determining qualifications for extra help with Medicare Prescription Drug Plan costs should call:

  • 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week), or
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday thru Friday. TTY/TDD users should call 1-800-325-0778.
    Low Income Subsidy Premium Disclaimer

If you qualify for extra help with your Medicare Prescription Drug Plan costs, your premium and drug costs may be lower. When you join Today’s Health, Medicare will tell us how much extra help you are getting. Then, we will let you know the amount you will pay. If you aren’t getting any extra help, you can see if you qualify by calling:

  • 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week), or
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday thru Friday. TTY/TDD users should call 1-800-325-0778.

Medigap Disclaimer

If you have a Medicare Supplement (Medigap) policy that includes prescription drug coverage, you must contact your Medigap Issuer to let them know that you have joined a Medicare Prescription Drug Plan. If you decide to keep your current Medigap supplement policy, your Medigap Issuer will remove the prescription drug coverage portion of your policy and adjust your premium. Under certain circumstances, you can also buy a different Medigap policy without prescription drug coverage sold by your Medigap Issuer. Your Medigap Issuer cannot charge you more based on any past or present health problems. Call your Medigap Issuer for details.

Potential for Contract Termination

In the unlikely event your Plan Sponsor leaves the Medicare program, or no longer offers prescription drug coverage in the service area where you live, we will notify you in writing.

If this happens, your membership in Today’s Health will end, and you will need to enroll in another Medicare Advantage Plan to continue your coverage. All of the benefits and rules of Today’s Health would continue until the effective date your membership in Today’s Health ends. You also would continue to receive your prescription drugs in the usual way through Today’s Health’s network pharmacies.

If Today’s Health leaves the Medicare program or your service area, you would need to select another plan. Your choices would include joining another Medicare Advantage Plan with prescription drug coverage (MAPD), if these plans are available in your area and are accepting new members. As soon as Today’s Health has notified you in writing that we are leaving the Medicare program or the area where you live, you may enroll in another plan.

The Plan Sponsor is contracted with the Centers for Medicare & Medicaid Services (CMS), the government agency that runs Medicare. This contract is subject to renewal each year. However, the Plan Sponsor or CMS can decide to end the contract at any time. You will generally be notified 90 days in advance if this situation occurs. However, your advance notice may be as little as 30 days or fewer if CMS must end the contract in the middle of the year.

M0018_H8742_209 Pending CMS Approval Last updated: 4/1/2022

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