Plan documents

The Outline of Coverage and the Medicare Select Policy work together to describe covered services provided by 65Plus Platinum.

Outline of Coverage

This is an outline of your policy’s most important features. View or download the 65Plus Platinum Outline of Coverage.

Medicare Select Policy

The Medicare Select Policy outlines the covered and non-covered benefits, information on how to access benefits, and details any exclusions or limitations associated with benefits. If you can’t find the information you need in your policy or if you need a copy of your policy, please contact Health Tradition toll free at 1-877-832-1823.

Annual Notices of Changes in Medicare

The benefits of the Health Tradition 65Plus Platinum automatically update to reflect changes in Medicare deductibles and coinsurance. The most recent updates are:

Creditable Coverage Disclosure Notice

This disclosure notice applies to 65Plus members with a Group #: MMDSLA, QMDSL, 65+Bab. This notice is about your current 65Plus prescription drug coverage and Medicare.

Your current 65Plus benefit plan pays 80% of charges for outpatient prescription drugs, after you have paid the $6,250 deductible in a calendar year. Outpatient prescription drugs must be received at a participating pharmacy in order to apply the out-of-pocket cost toward the $6,250 deductible.

Health Tradition Health Plan has determined that the prescription drug coverage offered by 65Plus is, on average for all plan participants, not expected to pay out as much as standard Medicare prescription drug coverage (Part D) pays. Therefore, it is considered Non-Creditable Coverage. Learn more: Creditable Coverage Disclosure Notice

Glossary of Health Coverage and Medical Terms

Download the glossary prepared by Centers for Medicare & Medicaid Services (CMS). It explains concepts and terms used in your plan documents.

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