Medicare Enrollment and Your UC Sponsored Medical Plan Coverage. UCSF HR/Benefits Health Care Facilitator Program, 2009. Medicare Basics. What is Medicare?. Medicare is a Federal Medical Insurance Program for: People 65 years of age and older regardless of their income or medical history
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Health Care Facilitator Program, 2009
See www.medicare.gov for information on coverage and exclusions
** Adult Dependent Relatives that become eligible for Medicare Part A may not continue their UC sponsored medical coverage.
Part B if:
Information based on coverage for plan year, 2009
You must live in the plan’s CA service area
Medicare pays a flat fee to the HMO each month - the HMO agrees to accept full responsibility for your care
You pay a low monthly premium
*You cannot use Medicare outside the plan
You select a primary care provider (PCP) to coordinate your care through your medical group
You pay a small co-pay when you receive services
No need to submit claim forms
*Exceptions – Blue Cross Plus in-network
Part B reimbursement CoveragePart B Reimbursement
Reimbursement for Part B may apply if UC’s contribution for a plan is greater than the gross premium
Maximum individual Part B reimbursement currently is $96.40 per person (2009)
Additional Considerations Coverage Changing Plans
THANK YOU FOR PARTICIPATING!
Additional information about Medicare is available on the Health Care Facilitator website at: www.ucsfhr.ucsf.edu/hcf