(1) The Baptist Health facilities are not accepting members from any Non-contracted Medicare Advantage Plans, including Medicare HMO, Private Fee for Service Plans (PFFS) and Medicare PPO plans for elective services. Mariners Hospital accepts members with traditional Medicare only. No Medicare Advantage HMOs are licensed in Monroe County.
(2) Formerly known as Medical Arts Surgery Center at South Miami.
(3) The Baptist Health facilities are NOT participating providers for Summit Health Plans, Inc. an affiliate of Vista Healthplans.
Q. I want to receive my health care through a Medicare HMO that contracts with a Baptist Health hospital and my current Medicare Advantage Plan does not have a contract with a Baptist Health hospital; what are my options? A. Generally, Medicare beneficiaries may enroll in or change their enrollment in a Medicare Advantage plan, Medicare Prescription Drug Plan or other Medicare health plan during the Annual Election Period, which runs from
November 15 through December 31 each year. The Medicare beneficiary's plan selection is valid for the following benefit year, which is the following calendar year.
Medicare beneficiaries also may be able to take advantage of certain enrollment periods that permit them to select a new Medicare Advantage plan during the benefit year, instead of waiting until the Annual Election Period, although limitations may exist on the types of plans that a Medicare beneficiary may choose to enroll in. For example, Medicare beneficiaries with Medicare prescription drug coverage (also known as Medicare Part D) may be limited to selecting a new Medicare Advantage from a group of Medicare Advantage plans that offer Medicare Part D coverage, while Medicare beneficiaries who do not have Medicare prescription drug coverage may be limited to selecting a new Medicare Advantage plan from a group of Medicare Advantage plans that do not offer Medicare Part D coverage.
More information about enrollment procedures for the 2009 and 2010 benefits years is available from the Centers for Medicare and Medicaid Services by contacting Medicare at 1-800-633-4227 or visiting www.medicare.gov. You also can contact your current Medicare Advantage plan, or the Medicare Advantage plan you think you may want to enroll in, for more information.
For information or questions concerning these or other health plans, please contact Linda Knudsen with Baptist Health at 786-596-5054 or e-mail your request to insurance@baptisthealth.net.