About Baptist Health: Medicare HMOs 

About Baptist Health

 Health Plans - Medicare HMOs  

 

Medicare HMOs (1)

Baptist
Hospital

South
Miami
Hospital

Homestead
Hospital

Doctors
Hospital

Baptist
Outpatient
Services

Medical Arts
Surgery
Center
at Baptist Hospital

Baptist Surgery and Endoscopy Centers (2)

West Kendall Baptist Hospital
AvMed - Medicare HMO

X

X

X

X

X

X

X

X

BlueMedicare - Medicare
HMO only

X

X

X

X

X

X

X

X

Humana - Medicare
HMO only

X

X

X

X

X

X

X

X

Medica HealthCare Plans  Medicare
PSO only

X

X

X

X

X

X

X

X

United Healthcare AARP MedicareComplete Plan 1 (HMO) (3)

X

X

X

X

X

X

X

X

United Healthcare AARP MedicareComplete Plus (HMO/POS) (3)

X

X

X

X

X

X

X

X

United Healthcare Dual Complete Medicare Advantage (3)

X

X

X

X

X

X

X

X

Vista A Coventry Health Care Plan (4) -
(formerly Vista Health Plan Medicare HMO)

X

X

X

X

X

X

X

X

Vista A Coventry Health Care Plan  (formerly Vista South Florida Medicare (4)

-

X

X

X

-

X

X

X


(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) Effective Nov. 15, 2011. The Baptist Health facilities are NOT participating providers for the United Medicare PPO or United Medicare PFFS Medicare Advantage Plans.
(4) 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 this year from October 15 through December 7, 2011.  The Medicare beneficiary's plan selection is valid for the following benefit year, which is the following calendar year.

There are changes to the open enrollment rules this year that differ from previous years. Some enrollment periods change in 2012.
 
October 1- October 15: With a limited time to enroll, get informed early and choose the 2012 plan that works best for you. Read your Annual Notice of Change to review your 2012 coverage.

October 15 - December 7: For most people this is the only time to join or switch Medicare plans (Medicare Advantage or Part D plans).

December 8: Enrollment closed. Unlike before, in 2012 you won't be able to switch to a different Medicare Advantage plan between January 1 and February 14. If you enroll in a Medicare Advantage plan during the Annual Enrollment Period, you have between January 1 and February 14, 2012, to disenroll. If you disenroll, you will be returned to Original Medicare (Parts A & B). If prescription drug coverage was part of your Medicare Advantage plan, you will be able to enroll in a Medicare Part D plan during this time.

More information about enrollment procedures for the 2012 benefit year 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 the Corporate Pricing Office at Baptist Health at 786-662-7667, or e-mail your request to corporatepricing@baptisthealth.net.



Related Links
HMOs
Medicare HMOs
PPOs/POSs