Product Overview
We offer our members a range of plans to fit their budgets and their particular health needs. To learn more about our Medicare Advantage Plans, please review the information and links below.
Current members should call 1-866-301-4107, TTY/TDD 1-800-231-4403, 24 hours, seven (7) days a week for questions related to the Medicare Part D Prescription Drug program. Prospective members should call 1-866-903-6867, TTY/TDD 1-866-573-8613 for questions related to the Medicare Part D Prescription Drug program.
You must receive all routine care from plan providers. Your primary care physician is responsible for the oversight of your care. Your primary care physician will coordinate the care you receive and is responsible for facilitating the referral process when you need to see specialists. If you obtain routine care from out-of-plan providers neither Medicare nor Arcadian Health Plan will be responsible for the costs. Members must use network pharmacies to access your prescription drug benefits, except under non-routine circumstances when you cannot reasonably use network pharmacies. You will be required to pay the difference between what we would pay for a prescription filled at an in-network pharmacy and what the out-of-network pharmacy charged for your prescriptions.
Arcadian Health Plan is provided by Arcadian Health Plan (parent AHP, Inc.), a Coordinated Care Plan with Medicare Advantage contract. Arcadian Health Plan's contract with CMS is renewed annually and the availability of coverage beyond the end of the current or specified contract year is not guaranteed. Benefits, formulary, pharmacy network , premium and/or co-payments/co-insurance may change on January 1, 2007. Please contact Arcadian Health Plan for details.
Members may enroll in a Plan only during specific times of the year. You cannot enroll in this plan if your current or former employer helps pay for your drugs. Arcadian Health Plan’s Medicare Prescription Drug Benefit is only available to members of the MA-PD Plan. If you are already enrolled in a MA-PD Plan, you must receive the Medicare Prescription Drug Benefit through that Plan. Beneficiaries may be enrolled in only one Part D Plan at a time. If you are enrolled in an MA Plan, you may not enroll in a PDP, unless you are a member of a Private Fee-for-Service MA Plan (PFFS) that does not provide Medicare prescription drug coverage, a Medical Savings Account MA Plan (MSA), or a 1876 Cost Plan. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party. Medicare beneficiaries may enroll in Arcadian Health Plan through the Centers for Medicare and Medicaid Services Online Enrollment Center, located at www.medicare.gov.
Current members may contact Member Service at 1-800-573-8597, TTY/TDD 1-866-573-8591 Monday – Sunday, 8 A.M. – 8 P.M., except holidays. Prospective Members may call 1-866-903-6867, TTY/TDD 1-866-573-8613 for more information.
If you qualify for extra help with your Medicare Prescription Drug Plan costs, your premium and drug costs will be lower. When you join Arcadian Health Plan, Medicare will tell us how much extra help you are receiving. Then, we will let you know the amount you will pay. If you aren't receiving any extra help, you can see if you qualify by calling:1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, or your State Medicaid Office, or the Social Security Administration at 1-800-772-1213 between 7 A.M. and 7 pm, Monday through Friday. TTY/TDD users should call 1-800-325-0778.
Arcadian Health Plan is provided by Arcadian Health Plan (parent AHP, Inc.), a Coordinated Care Plan with a Medicare Advantage contract. Anyone with Medicare Parts A and B may apply. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You must use contracted providers and pharmacies for care. Limitations, monthly premiums, copayments and coinsurance will apply. Dual Plus Plan: The plan is available to anyone who has both Medical Assistance from the state and Medicare. Premiums, copayments, coinsurance and deductibles may vary based on income. Please contact the plan for further details.