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If you lost or are losing other health insurance coverage and received a notice from your prior insurer saying you were eligible for guaranteed issue of a Medicare supplement insurance policy, please forward a copy of the notice.

Mail:

HAP MEDICARE SOLUTIONS
HEALTH ALLIANCE PLAN
21700 NORTHWESTERN HWY STE 401
SOUTHFIELD, MI 48075-9841

OR

Fax:

248-443-4424

 
 
 
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Alliance Medicare PPO

  • Eligible enrollees must have and keep Parts A and B to enroll in a Medicare Advantage Plan.
  • A beneficiary may only be enrolled in one Medicare Advantage plan at a time.
  • Enrollment in a Medicare Advantage plan is generally for the entire year.
  • Enrollees may leave a Medicare Advantage plan only at certain times of the year, or under certain special circumstances.
  • Alliance Medicare PPO eligible enrollees must have a permanent residence within the service area to enroll.
  • Enrollees may get care from contracted and non-contracted providers. Except for emergency and urgently needed care, enrollees will generally pay more when using non-contracted providers.
  • Submitting your application through the online process constitutes a valid enrollment election on your part. In the event of an omission on the form, you will be contacted by a Health Alliance Plan representative.
  • In response to your request for enrollment, you will receive a notice in the mail where we will acknowledge receipt of your completed request or deny your enrollment due to ineligibility per Medicare's regulations.


 
 
 
     
 

HAP Senior Plus (hmo)-Henry Ford

  • Eligible enrollees must have and keep Parts A and B to enroll in a Medicare Advantage Plan.
  • A beneficiary may only be enrolled in one Medicare Advantage plan at a time.
  • Enrollment in a Medicare Advantage plan is generally for the entire year.
  • Enrollees may leave a Medicare Advantage plan only at certain times of the year, or under certain special circumstances.
  • Medicare Advantage eligible enrollees must have a permanent residence within the service area to enroll.
  • HAP Senior Plus serves a specific service area. Eligible enrollees must have a permanent residence within the service area to enroll.
  • Because HAP Senior Plus is an HMO plan, enrollees must obtain all routine care from contracted providers within the network of their personal care physician.
  • Without authorization, neither HAP Senior Plus nor Medicare will pay for services received from non-contracted providers, except for emergency or urgently needed care or out of area renal dialysis.
  • Submitting your application through the online process constitutes a valid enrollment election on your part. In the event of an omission on the form, you will be contacted by a Health Alliance Plan representative.
  • In response to your request for enrollment, you will receive a notice in the mail where we will acknowledge receipt of your completed request or deny your enrollment due to ineligibility per Medicare's regulations.

 
 
 
     
 

HAP Senior Plus (hmo-pos)-Expanded Network

  • Eligible enrollees must have and keep Parts A and B to enroll in a Medicare Advantage Plan.
  • A beneficiary may only be enrolled in one Medicare Advantage plan at a time.
  • Enrollment in a Medicare Advantage plan is generally for the entire year.
  • Enrollees may leave a Medicare Advantage plan only at certain times of the year, or under certain special circumstances.
  • Medicare Advantage eligible enrollees must have a permanent residence within the service area to enroll.
  • HAP Senior Plus serves a specific service area. Eligible enrollees must have a permanent residence within the service area to enroll.
  • Because HAP Senior Plus is an HMO-POS plan, enrollees must obtain all routine care not available under the Point-of-Service benefit from contracted providers within the plan's network.
  • Without authorization, neither HAP Senior Plus nor Medicare will pay for services received from non-contracted providers, except for emergency or urgently needed care or out of area renal dialysis.
  • Submitting your application through the online process constitutes a valid enrollment election on your part. In the event of an omission on the form, you will be contacted by a Health Alliance Plan representative.
  • In response to your request for enrollment, you will receive a notice in the mail where we will acknowledge receipt of your completed request or deny your enrollment due to ineligibility per Medicare's regulations.

 
 
 
     
 

Alliance Medicare Rx (pdp)

  • Eligible enrollees must have Part A or Part B to enroll in a Prescription Drug Plan.
  • Enrollees must continue to pay the Part B premium unless otherwise paid for under Medicaid or by another third party.
  • A beneficiary may only be enrolled in one Prescription Drug Plan at a time.
  • Enrollment in a Prescription Drug Plan is generally for the entire year.
  • Enrollees may leave a Prescription Drug Plan only at certain times of the year, or under certain special circumstances.
  • Alliance Medicare Rx eligible enrollees must have a permanent residence within the service area to enroll.
  • Submitting your application through the online process constitutes a valid enrollment election on your part. In the event of an omission on the form, you will be contacted by a Health Alliance Plan representative.
  • In response to your request for enrollment, you will receive a notice in the mail where we will acknowledge receipt of your completed request or deny your enrollment due to ineligibility per Medicare's regulations.