Medicare is a low-cost health insurance plan that is federally funded. Most people get it when they turn 65. You may be eligible before you turn 65 if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also known as Lou Gehrig’s disease). We have plans that cover everything Original Medicare does, but with added enhancements and benefits to help you pay for the things it doesn’t cover, which will save you money.

Original Medicare is made up to two parts, Part A and Part B. Each Part pays for different parts of your care.​

GLOBALHEALTH HAS SEVERAL MEDICARE ADVANTAGE COVERAGE OPTIONS THAT COST $0 PER MONTH THAT WILL PROVIDE COVERAGE FOR THINGS THAT ARE NOT COVERED BY ORIGINAL MEDICARE. WE CAN HELP SAVE YOU MONEY.

A Medicare Advantage plan is an all-in-one alternative to Original Medicare to enhance your health coverage. Medicare Part C, such as a plan from GlobalHealth, combines Part A and Part B and often Part D prescription drugs. Medicare Part C usually offers more benefits for services such as dental, vision, hearing and low to no copays on physician visits. You must have Medicare Parts A and B to enroll in a Medicare Advantage plan.

• Do you have Part B?​
• Do you have Part A?​
• Are you a permanent resident within our Service Area?

If you answered YES to all three questions, then You Likely Qualify!

Annual Enrollment Period - October 15 thru December 7​

• This period is the window of time in which Medicare beneficiaries can join, switch, or disenroll from a Medicare Advantage plan. Changes to enrollment made during this period will be effective January 1, 2024.

Open Enrollment Period - January 1 thru March 31

• Medicare Advantage plan enrollees have one opportunity during this period to enroll in another Medicare Advantage plan or to disenroll from their Medicare Advantage plan and return to Original Medicare.

Special Enrollment Period - April 1 thru October 14

• Medicare beneficiaries cannot make changes to their current plan unless they qualify for a special enrollment period. 

Are you turning 65 years of age?

You can enroll in a Medicare Advantage plan during a 7-month window around your 65th birthday :

• 3 months before you turn 65.
• The month you turn 65.
• 3 months after your birthday month.​

Other qualifying events may allow a Medicare beneficiary to make plan changes throughout the year.  If you can answer “Yes” to any of the following questions, you may qualify to make a plan change.

• Do you have both Medicare and Medicaid?​
• Do you qualify for Extra Help paying for your prescriptions?​
• Have you recently moved and your current plan is not offered in your service area?​
• Are you leaving your employer or union coverage?​
• Do you qualify for a special needs plan for diabetes, chronic heart failure, or cardiovascular disease?​

IF YOU THINK YOU MAY HAVE ANOTHER QUALIFYING EVENT THAT IS NOT LISTED HERE, CONTACT US AND WE WILL HELP YOU DETERMINE IF YOU QUALIFY.​

GlobalHealth is excited to have the opportunity to offer a Special Needs Plan (SNP) to those that qualify.  A SNP offers an array of services and benefits that are designed for people who have certain chronic conditions or are dual-eligible (receive both Medicare and Medicaid benefits).

• Chronic Special Needs Plans (C-SNP)​​
• Dual Special Needs Plans (D-SNP)​

A C-SNP is a type of Medicare Advantage plan designed for Medicare beneficiaries with chronic conditions such as heart disease or diabetes. Plans may offer C-SNP plans for only one condition or a group of conditions.

The Centers for Medicare and Medicaid Services (CMS) defines which condition(s) a Medicare Advantage plan may cover through a C-SNP plan. For 2024, GlobalHealth is offering C-SNP plans that will cover:​

• Chronic Heart Failure​
• Diabetes​
• Cardiovascular Disease, including cardiac arrhythmias, coronary artery disease, peripheral vascular disease, and chronic venous thromboembolic disorders

Members enrolled in a C-SNP plan typically receive lower out-of-pocket for prescriptions and other services due to the level of integration with Medicaid.

GlobalHealth C-SNP Features and Benefits:​

• Standard Diabetic Testing Supplies Covered at No Cost​
• Three pair of Therapeutic Custom-Molded Shoes and Inserts*​
• $35 Copay for Select Insulins through the Part D Senior Savings Model​
• Additional Coverage for Tier 3 Oral Antidiabetics through the Gap Coverage Stage

Dual Special Needs Plans (D-SNP) are a unique type of Medicare Advantage plans that provides benefits for people that are eligible for Medicare (Part A & Part B) and Medicaid, incorporating medical, pharmacy, and behavioral health. 

Medicare beneficiaries that are categorized as a Qualified Medicare Beneficiary (QMB), QMB+, Specified Low-Income Medicare Beneficiary Plus (SLMB+), or Other Full Benefit Dual Eligibles (FBDE) may qualify for at least one type of D-SNP that is offered at GlobalHealth.

Our D-SNP Model of Care is designed to provide improved management of your health benefits by providing and arranging for Medicaid benefits.

Examples of additional benefits may include:

• $0 monthly premiums

• Care Management and Coordination

• Dental, Vision, and Hearing coverage

• Also included are transportation assistance, Companion Care assistance and more. 

Sometimes life takes you to new places. Changing your address is easy. Simply call the GlobalHealth Customer Care team and provide them with your new address.

What can I do if I move?​

If you move to a new city that is within your plan’s network, you can:​

• Keep your current Medicare Advantage of Part D plan.​
• Enroll in or change to a difference Medicare Advantage or Part D plan​
• Disenroll from your existing plan and return to original Medicare.

If you have a Medicare Advantage plan, you can either enroll in a new Medicare Advantage or go back to Original Medicare and enroll in a Part D plan.  You will have the following options:​

• Enroll in a new Medicare Advantage plan​
• Enroll in a new Part D plan​
• Drop your Medicare Advantage coverage and return to Original Medicare when you move.

What is Extra Help?​

Extra Help (also known as Low-Income Subsidy (LIS)) helps pay for a portion of your prescription drug costs, including Part D premiums, deductibles, and copays.  

Do I qualify for Extra Help?​

• To be eligible for Extra Help, you must:
• Live in the United States
• Be enrolled in Medicare Part A and Part B
• Have an annual income below $21,870 for an individual, or $29,580 for a married couple in 2024. Income limits are based on your income from the previous year.​
• Resources must be below $15,720 for an individual, or $31,360 for a married couple in 2024 (Resources include money in a checking, savings, or retirement account, stocks, and bonds. Resources do not include your home, one car, burial plots, up to $1,500 for burial expenses if you’ve put that money aside, furniture, and other household and personal items).

How Can I apply for Extra Help?

To get Extra Help, you must complete and submit and application to the Social Security Administration.Click Here to apply for Extra Help now.

The Late Enrollment Penalty (LEP) is an amount that is permanently added to your Medicare drug coverage (Part D) premium. You may owe a late enrollment penalty if at any time after your Initial Enrollment Period is over, there’s a period of 63 or more days in a row when you don’t have Medicare drug coverage or other creditable prescription drug coverage.

You may be able to ask for a “reconsideration”. CLICK HERE to download the form. Complete the form, and return it to the address or fax number listed on the form.

CLICK HERE to download Coordination of Benefits (COB) Survey.​

Importance of letting GlobalHealth know you have other Health Insurance.

Coordination of benefits (COB) allows GlobalHealth to determine their respective payment responsibility (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan).   

This will ensure claims are paid correctly by identifying the health benefits available to a Medicare beneficiary, coordinating the payment process, and ensuring that the primary payer, whether Medicare or other insurance, pays first.