Medicare Advantage FAQs
How do I choose a plan?
Choosing a health plan is not as easy as it once was. Of course, the costs, coverage, and out-of-pocket maximum are important, but just as important are the doctors and hospitals covered in the provider network and the plan's quality ratings. So, before you enroll in a plan, make sure you're not trading quality, service, and the doctors and hospitals you trust for premiums and copayments that seem too good to be true
Who is eligible to enroll?
For Medicare Advantage plans
AdventHealth Advantage Plans SunSaver (HMO)
To be eligible to enroll, you must:
- live in our service area (Volusia, Hardee, Highland, Flagler and Seminole Counties in Florida), and
- be entitled to Medicare Part A and enrolled in Medicare Part B, and continue to pay your Part B premium (unless otherwise paid for under Medicaid or another third party)
Once we verify your eligibility with Medicare, your coverage will become effective the first day of the month after we receive your enrollment form.
When can I enroll?
The Annual Enrollment Period is from October 15-December 7. For most people, this is the only time they can choose their Medicare Advantage plan, unless they qualify for a special election period. Some of the reasons that may qualify you for a special election period include:
- You can enroll when you first become eligible for Medicare (3 months before you turn age 65 to 3 months after the month you turn age 65).
- If you receive Medicare due to disability, you can join during the 3 months before to 3 months after your 25th month of disability.
- If you move into an area where your previous coverage is no longer available, you may choose a new plan in your new service area.
- If you have both Medicare and Medicaid.
- If you qualify for "extra help."
- If you live in an institution.
- Other special circumstances (such as losing employer group coverage).
Please contact our Care Team for more information.
Can I change my coverage?
In an effort to ensure you are enrolled in plans that best suit your needs and budget, CMS will allow you to make a one-time change into another Medicare Advantage (MA) plan or Original Medicare between January 1 and March 31. If you elect for this option, you may also make a coordinating change to add or drop Part D coverage.
There are also special situations that may qualify you to change your coverage during other times of the year (for example moving to another area), so please contact our Care Team for more information.
Medicare Advantage Disenrollment Form
Member Disenrollment Rights & Responsibilities
AdventHealth Advantage Plans is administered by Health First Health Plans. Health First Health Plans is an HMO plan with a Medicare Contract. Enrollment in Health First Health Plans depends on contract renewal.
Y0089_EL9652AH_M | Accepted date: 10/01/2021
Last updated: 10/01/2021