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| Current and Prospective Members |
Current and Prospective members please
call (866) 321-3947 for questions
related to the America's 1st Choice Health
Plans:
7 days - 8AM to 8PM EST
from Nov 15th – Mar 1st
Mon – Fri 8AM to 8PM EST
from Mar 2nd – Nov 14th
(TTY/TDD) - (800)735-8583
For questions related to your Medicare
Part D Prescription Drug program please
call (866)321-3947) |
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America’s 1st Choice 2010 Medicare Advantage Plans
Not sure which plan best suits you? Since everyone’s health needs are different, we offer a variety of Medicare Advantage Health Plans so you can choose the one that fits you and your health needs just right.
Choose several ways to compare plans:
Looking for a specific health benefit?
The benefit information provided herein is a brief summary, not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. Click Plan Finder above for more comprehensive information.
Plans with Part B premium reductions
Patriot (PFFS)
Plan ID: 008
- $55.00 Part B Refund
- $15 PCP Co-pay
- $0 cost for Preventive Care
- Fitness Membership
- Vision, Dental, Hearing, and more…
Patriot Plus (PFFS)
Plan ID: 009
- $15 Part B Refund
- $10 PCP Co-pay
- $0 cost for Preventive Care
- $0 Generic Drug Co-pay
- Fitness Membership
- Vision, Dental, Hearing, and more…
Plans that reduce costs and still provide broad coverage
Presidential (PFFS)
Plan ID: 010, 025
- $10 PCP Co-pay
- $0 cost for Preventive Care
- Fitness Membership
- Vision, Dental, Hearing, and more…
Presidential Plus (PFFS)
Plan ID: 011, 026
- $5 PCP Co-pay
- $0 cost for Preventive Care
- $0 Generic Drug Co-pay
- Fitness Membership
- Vision, Dental, Hearing, and more…
Plans with prescription drug coverage
Patriot Plus (PFFS)
Plan ID: 009
- $15 Part B Refund
- $10 PCP Co-pay
- $0 cost for Preventive Care
- $0 Generic Drug Co-pay
- Fitness Membership
- Vision, Dental, Hearing, and more…
Presidential Plus (PFFS)
Plan ID: 011, 026
- $5 PCP Co-pay
- $0 cost for Preventive Care
- $0 Generic Drug Co-pay
- Fitness Membership
- Vision, Dental, Hearing, and more…
Know the name of the plan you are looking for?
Here are the plan names separated into 3 categories: Medicare Advantage Plans with drug coverage; Medicare Advantage Plans without drug coverage and Plans with Part B Premium Reduction:
Plans with drug coverage
Patriot Plus (PFFS)
Presidential Plus (PFFS)
Plans without drug coverage
Patriot (PFFS)
Presidential (PFFS)
Plans with Part B Premium Reduction
Patriot (PFFS)
Patriot Plus (PFFS)
Who is Eligible to Join?
You can join if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the service area. However, individuals with End Stage Renal Disease are generally not eligible to enroll in an America's 1st Choice plan unless they are members of our organization and have been since their dialysis began.
Can I choose my doctors?
As a member of one of America's 1st Choice Medicare PFFS Plans, you can use any Medicare doctor, specialist, or hospital that accepts Medicare payment and accepts the terms, conditions and payment rate of the America's 1st Choice Plan. America's 1st Choice has the right to determine if the service or treatment ordered by your health care provider is covered under the America's 1st Choice Plan. A Medicare advantage Private Fee-for-Service Plan works differently than a Medicare supplement plan. Your doctor or hospital must agree to accept the plan's terms and conditions prior to providing healthcare services to you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not provide healthcare services to you, except in emergencies. Providers can find the plan's terms and conditions on our website at
sc.americas1stchoice.com/pffs_terms_conditions.php
What about prescription drug coverage?
America’s 1st Choice has plans with and without Medicare Part D prescription drug coverage. As a member of Patriot, Presidential you can receive prescription drug coverage by joining another Prescription Drug Plan. You can only join one Medicare Prescription Drug Plan. As a member of our Patriot Plus and Presidential Plus Plans, you will have Medicare Part D prescription drug coverage.
Why Medicare Advantage?
Original Medicare pays for many health care services and supplies, but it often leaves over 20% for you to pay. In addition, there is limited drug coverage. That's why most people with Original Medicare carry additional Medicare coverage from a private insurance company - at an added premium cost (call Medicare Supplement Policies or Medigap Policies). Many people instead choose to receive covered under a Medicare Advantage Health Plan. With a Medicare Advantage Plan, you receive more coverage than Original Medicare and don't need a Medicare Supplement policy.
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