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HAP Senior Plus

 

NCQA / U.S. News & World Report, America's Best Health Plans 2008-2009

Compare HAP Senior Plus plans

Optional prescription drug coverage

Optional dental coverage

How to get extra help with Medicare Part D costs

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Healthy living starts with finding a health partner that keeps an eye out for your well-being, and a health plan that combines a broad range of rich benefits, services, and programs that support a healthy lifestyle. You will find all that and more at HAP Senior Plus.

  • Value
    Stay active and healthy with preventive care and wellness programs, including our flexible  health options benefit that gives you a benefit of up to $20 monthly for membership in health clubs, weight management programs, chiropractic services not covered by Medicare, and even acupuncture
  • Choice
    Choose from two HAP Senior Plus delivery systems.  Choose the level of prescription drug coverage that is right for you — no drugs, basic or enhanced levels. You can also add dental coverage if you need it
  • Responsive service
    Rely on your Personal Service Coordinator for assistance and information
  • Security
    Travel with confidence, with worldwide emergency and urgent care coverage
  • Experience
    Rely on a Michigan-based company that has been serving the community for over 45 years
  • Coordinated health team
    Select your Personal Care Physician, a doctor who knows you and your medical history and, as your health partner, recommends specialists and coordinates all your care to make sure you get the care you need, at the right time and in the right setting

    You select your Personal Care Physician (PCP) from our group of providers.

    HAP Senior Plus — Henry Ford Health System Network
    The Henry Ford Health System Network operates as an integrated delivery system. Your Personal Care Physician (PCP) will coordinate your care and make arrangements for you, as necessary, to see other doctors and hospitals affiliated with his or her group practice.

        The Henry Ford Health System Network serves people with
        Medicare who live in Wayne, Oakland and Macomb counties

    HAP Senior Plus — Expanded Network
    The Expanded Network plan has two delivery system options:

    A. Integrated Delivery System - If your choice of Personal Care Physician (PCP) is part of the Henry Ford Medical Group (HFMG) or Detroit Medical Center (DMC), you will be part of an integrated delivery system. Your Personal Care Physician (PCP) will coordinate your care and make arrangements for you, as necessary, to see other doctors and hospitals affiliated with his or her group practice.

    B. Open Delivery System - All other providers and hospitals in the HAP Senior Plus – Expanded Network operate as an open delivery system. Your Personal Care Physician (PCP) will still coordinate your care, but you may seek needed care from any HAP contracted specialist, and you may use any HAP contracted hospital.

        The Expanded Network is one of the largest HMO networks
        in southeast Michigan, serving people with Medicare who
        live in Wayne, Oakland, Macomb, Genesee, Lapeer, Livingston,
        Monroe, St. Clair, and Washtenaw counties

    With either delivery system, you must receive all your care from HAP Senior Plus providers, except for emergency and urgent care or out-of-area renal dialysis services. In some cases, coverage for specialist services may require a referral from your PCP.

Who can join

You may be eligible to enroll if:

  • You are enrolled in Medicare Part A and Part B
  • You reside within the plan service area, which includes Wayne, Oakland, Macomb, Genesee, Lapeer, Livingston, Monroe, St. Clair and Washtenaw counties
  • You must continue to pay your Part B premium after you enroll, if it is not paid for under Medicaid or by another third party.

Important information

HAP has a Medicare contract with the federal government to offer Medicare-approved plans. Our Medicare contract is renewed annually. The availability of coverage beyond the end of the contract year is not guaranteed. Please contact HAP for details.

If you choose to go to a doctor outside your plan’s service area for routine care, you must pay for the services yourself. Neither HAP nor Original Medicare will pay for these services.

Check to see if your doctor is already a HAP Senior Plus care provider. If not, give us a call, and we’ll talk with your doctor about joining our delivery system.

Other than emergency care situations, generally your prescription drug benefits are only available at contracted network pharmacies.

Can’t find the information you want?

Call or write to us for more information about our benefits, enrollment periods, or networks.

(800) 868-3153 toll free
TDD (800) 956-4325 toll free
Monday through Friday
8:30 a.m. to 5 p.m.

Already a member?:

HAP Senior Plus
(800) 801-1770 or
TDD (800) 956-4325 toll free

Alliance Medicare PPO
(888) 658-2536 or
TDD (800) 956-4325 toll free

Monday through Friday
8 a.m. to 8 p.m
Saturday
8 a.m. to noon.

Extended Hours
During the enrollment period of November 15 through March 1, Client Services Specialists are available seven days a week, including holidays, from 8 a.m. to 8 p.m.

Or mail your questions to:
HAP Client Services
Attn: Medicare
2850 West Grand Boulevard
Detroit, Michigan 48202

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H2312 H2322 S3440 Web2 09
CMS Approved: 3/11/09