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MEMBERS

Medicare Advantage Plans

Health New England Medicare Advantage plans provide coverage and benefits beyond Original Medicare. These plans offer the convenience of medical, hospital, and, in most cases, drug coverage in one plan. Our Medicare Advantage plans provide additional benefits for services such as fitness, dental and hearing aids.



Medicare Supplement Plans

Health New England Medicare Supplement (Medigap) plans work with Original Medicare and they cover many of your cost-sharing amounts. These plans give you the flexibility to see any doctor throughout the U.S. who accepts Original Medicare. With Medicare Supplement plans, you can join a separate stand-alone prescription drug plan.

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Monthly Premium
Yearly Out-of-Pocket Maxiumum
 
Annual Physical
Annual Eye Exam
Annual Hearing Exam
Primary Care Provider Visits
 
Specialist Physician Visit
 
Diagnostic Tests
(Laboratory Radiology)
Worldwide Emergency Coverage
 
Fitness/Weight Watchers®/
Safety Items Allowance
Dental Allowance
Hearing Aid Coverage
 
Eyewear Allowance
Drug Coverage

 
Original Medicare

Part B Premium
No, continue to pay
Part A and B cost sharing
Not covered
Not covered
Not covered
Part B premium + 20%
of the Medicare approved amount
Part B premium + 20%
of the Medicare approved amount
Part B premium + 20%
of the Medicare approved amount
Not covered, only covered
in the U.S. and U.S. territories
Not covered
 
Not covered
Not covered
 
Not covered
Must be purchased separately

Health New England
Medicare Advantage Plans

Part B Premium + Plan Premium
Yes, varies by plan
 
Yes (copay varies by plan)
Yes, as low as $0
Yes (copay varies by plan)
Yes, as low as $0
 
Yes (copay varies by plan)
 
Yes, as low as $0
 
Yes covered, for emergency and
urgent care worldwide
Yes, $150 per calendar year
 
Yes, $150 per calendar year
Yes, 2 hearing aids
per calendar year (copay applies)
Yes, $100 every two years
Yes, included in most plans

Health New England 
Medicare Supplement Plans

Part B Premium + Plan Premium
No, continue to pay Part A
and B cost sharing (varies by plan)
Not covered
Not covered
Not covered
Part B cost sharing
(varies by plan, as low as $0)
Part B cost sharing
(varies by plan, as low as $0)
Part B cost sharing
(varies by plan, as low as $0)
Yes, covered for emergency
coverage worldwide
Varies by plan
 
Not covered
Not covered
 
Not covered
Must be purchased separately

Plan Information

Once you find a plan that you are interested in, it is important to review all of the coverage details. You can find plan details for each of our Medicare plan offerings in Massachusetts in our Plans section.

MEMBER RESOURCES

HNE

Medicare Made
Easy Guide

Medicare can be confusing! Our Medicare Made Easy Guide will help you understand the A, B, C and D’s of Medicare.

Find a Provider

Use our search tools to find participating primary care providers, specialists, hospitals, pharmacies, eyewear providers and more.

Pharmacy & Prescription Benefits

Our Medicare Advantage Plan offers prescription drug coverage access to more than 60,000 retail pharmacies nationwide through our Pharmacy Benefit Manager, National Pharmaceutical Services (NPS).

Resources

Find helpful information related to your rights and responsibilities, privacy and appointing a representative, grievances and appeals, quality programs, advance directives, and more.

Forms

Occasionally you will need to fill out forms for things like mail order prescriptions and allowance program reimbursements. You’ll find all of our forms here.

Contact Us

Our member services team is here to answer your questions related to Health New England Medicare Advantage plans.

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CONTACT US

Our team is here to answer any of your questions related to
our Medicare plan options.     

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MEDICARE FAQS

Medicare can be confusing. Here are some answers to the most common questions about Medicare.

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MEDICARE VIDEO

Watch our 25 minute "Medicare Made Easy" video, which explains the different parts and considerations of Medicare.

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enroll now

At Health New England, we make it easy to enroll in one of our Medicare plans.

MemberMatters Newsletter

MemberMatters is our news site for members on HNEtalk.com. Here, you’ll find the most current news and information as it relates to your relationship with Health New England. Whether it’s updated plan information and guidelines, health-related news or community events –
you’ll find it all on HNEtalk!

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Star Ratings

Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

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This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and or copayments may change on January 1 of each year. You must continue to pay your Medicare Part B premium.


H8578_2018_049 approved 
last updated 9/30/17