Please review the Q&A below for answers to frequently asked questions regarding Pharmacy, Choice of Doctor, Choice of Facility, and Coverage. Can't find what you are looking for? Please visit our Member Materials, Forms, Tools, and Resources page for commonly used links and resources.
GlobalHealth has contracted pharmacies across the state of Texas. Through this network, you have convenient access to the prescription drugs you need to build and maintain a healthy life.
The formulary is listed on the website and is frequently updated.
You will have the same limits that are required by Medicare Part D.
GlobalHealth strongly encourages you to use generics whenever possible. The cost to you is generally less with generics so you may be less likely to enter the Medicare coverage gap with the use of generics.
The formulary is updated on our website.
You can search our pharmacy network by utilizing our online search tool.
GlobalHealth is contracted with a network of primary care physicians and specialists. For 2022, GlobalHealth of Texas is licensed in 6 counties in Texas, 4 in North Texas and 2 in Southeast Texas. GlobalHealth has participating providers in each county, giving you the opportunity to choose the physician that meets your healthcare needs.
You may use your current physician if he/she is in the network. You can search our network by utilizing our online search tool.
If your doctors leave the plan, GlobalHealth will assist you in finding another physician to meet your care needs.
Unless it is an urgent/emergency situation, you will be responsible for the bill.
GlobalHealth has contracts with many hospitals and healthcare providers in 6 counties across Texas for 2022. This enables you to set appointments at locations convenient for you. Plus, emergency care is available at any facility.
GlobalHealth is in frequent contact with your doctor and the hospital to monitor your progress.
As long as you stay in-network and pay your copayments, there are no unexpected costs for Medicare-eligible services.
You will receive the same coverage as Medicare.
When you are out of the GlobalHealth service area but in the U.S., urgent and emergency care is covered under your policy.
In addition, GlobalHealth covers you in foreign countries. See your Evidence of Coverage for copayment and benefit allowance information.
If you use an out-of-network provider, you will not be covered except in specific instances such as emergencies. See your Evidence of Coverage for specific information.
Our Medicare Advantage Plans, combine the insurance benefits of Medicare parts A, B and D with the customer service and care of a consumer-focused health maintenance organization.
A Medicare Advantage plan (also known as Medicare Part C) is an all-in-one alternative to Original Medicare to enhance your health coverage. Medicare Advantage plans combine Part A and Part B and often Part D prescription drugs. Medicare Part C usually offers more benefits for services such as dental, vision and low to no copays on physician visits. You must have Medicare Part A and B to enroll in a Medicare Advantage plan. GlobalHealth offers Medicare Advantage Plans with and without prescription drug coveragee.
In addition to the same Medicare coverage for your illness, you will receive a personal case manager to ensure that you receive the care you need in a timely manner.