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.