Medicare Advantage

Medicare Advantage at The Polyclinic

Granddad and granddaughter looking out train window and smiling

We want to keep you healthy, out of the hospital, and doing the things you love most. In our Medicare Advantage program, we coordinate your care in a personalized and comprehensive way, collaborating with your primary care physician and insurance company. We offer multiple Medicare Advantage plans to give you options on what fits your needs.

What is Medicare Advantage?

Medicare Advantage plans (Part C) provide the same hospital and medical benefits as Original Medicare (Part A and Part B) and can provide additional benefits like vision and dental – even gym memberships. Medicare Advantage plans bundle your benefits into one plan with one card from one insurance company, often offering a more cost effective option.

Working to Keep You Healthy

You benefit from innovative programs and services such as:

-     Claims Processing
-     Referral Coordination
-     Reviewing health services
-     Social Workers
-     Nursing Home Care
-     Patient Advocates
-     Educational Seminars

These services are managed and overseen by The Physicians Care Network (PCN). Learn more about PCN.

Medicare Advantage Health Plans

Every patient’s personal needs are different. That’s why we offer multiple Medicare Advantage plans for you to select the one that’s best for you.

In 2016 The Polyclinic is contracted with the following Medicare Advantage health plans:


AARP®Medicare Complete®Insured through United Healthcare

AARP® MedicareComplete® Plan 1 (HMO)
AARP® MedicareComplete® Plan 2 (HMO)
AARP® MedicareComplete® Plan 3 (HMO)


Humana

HumanaChoice® (PPO)
Humana Gold Plus® (HMO)
Humana Community (HMO)

Premera

Premera Blue Cross Medicare Advantage (HMO)
Premera Blue Cross Medicare Advantage (HMO-POS)
Premera Blue Cross Medicare Advantage Plus (HMO)

Regence MedAdvantage

Regence MedAdvantage + Rx Classic (PPO)
Regence MedAdvantage Basic (PPO)
Note: The Regence Blue Advantage HMO plan is not accepted by The Polyclinic.

Soundpath Health

Soundpath Health Alpine (HMO)
Soundpath Health Sound + Rx (HMO)
Soundpath Health Charter + Rx (HMO)
Soundpath Health Peak + Rx (HMO)

How do I get started?

If you are turning 65:

You have seven months to enroll: three months prior to your 65th birthday; your birthday month and three months after.

If you are over 65:

You can enroll in a Medicare Advantage plan during the Open Enrollment Period from October 15-December 7 each year unless you qualify for a special enrollment period (SEP). Review your plan each year to make sure it still meets your health needs. Polyclinic patients can access our Medicare resources even after turning 65.

As you review your options, take advantage of our Medicare Resources that are designed to help you make an informed and confident decision.

More Information

The Polyclinic accepts retirement benefit plans from state or federal governments or private employers. Please check our accepted insurance page or attend our Polyclinic, Medicare, and You class to find the right plan for you.

The Polyclinic does not accept Medicare Advantage Private Fee for Service (PFFS) plans. This is not a complete listing of plans available in your service area. For a complete listing, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult medicare.gov.

If you have established care with a Polyclinic primary care physicians and are enrolling in of our contracted Medicare Advantage plans, you have access to the Polyclinic Medicare Advantage Advocate. To reach your Advocate, call 206-860-4718.