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Health Benefits
Medicare-Eligible Retirees > Health Net Medicare Advantage Plan/MedPrime



Health Net

Health Net offers their Medicare Advantage Plan and MedPrime (a Coordination of Benefits plan) for eligible City of New York retirees in the tri-state area.  Both plans provide complete coverage of Medicare benefits. To qualify, you must be enrolled in Medicare Parts A and B and use Health Net providers.  Health Net has been providing high-quality coverage and unsurpassed customer service to our Medicare members for over 30 years. Health Net offers quality healthcare through our network of fully accredited physicians and hospitals. We strongly support the physician/patient relationship to ensure that you receive the best health care to meet your needs.

Health Net also offers all of our members access to  Decision Power, a program which address the health needs of the whole person through integrated resources and suppot that span the entire spectrum of health - from wellness resources to health coaching available 24 hours-a-day, 7 days-a-week and, chronic condition management to end-stage disease support. 

Health Net Medicare Programs
Enrolling in Health Net's Medicare Advantage plan gives you 100% coverage of Medicare benefits, plus a lot more.  Primary care doctor visits are subject to a $10 copay and specialist visits are subject to a $15 copay.   Health Net's Medicare Advantage plan is available to retirees living in Conneticutt. 

HealthNet MedPrime
HealthNet MedPrime combines the benefits of Health Net with the government’s original Medicare program. Medicare is the primary payer of medical claims and HealthNet is the secondary payer.  HealthNet MedPrime is offered to retirees living in New York and New Jersey.  

Prescription Drug Coverage
HealthNet Medicare Advantage:
  Retirees in union welfare funds where prescription drugs are not covered will automatically receive the following prescription drug benefit: 
Copays: $15 generic/$35 formulary/$60 non-formulary brand drugs.  Unlimited annual maximum.

HealthNet MedPrime - Optional Rider:    Retirees must purchase the Optional Rider in order to receive the following prescription drug benefits. 
Copays:   $15 copay for generic and formulary drugs. Non-formulary brand name drugs not covered. 
Unlimited annual maximum for generic and formulary drugs. 

Cost
See rate page for pension deductions.
See the rate page

For More Information
Representatives are available Monday through Friday, 8:00 am - 6:00 pm.  If you have any questions, please call toll free:
Medicare Advantage Plan members: (800) 547-8734
MedPrime members: (800) 441-5741

Or you can write to:
HealthNet
One Far Mill Crossing
P.O. Box 904
Shelton, CT 06484-0944
Visit the Plan Web site

Updated to reflect changes to Health Net Medicare Advantage Plan and Health Net MedPrime effective July 1, 2008.

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