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Now, select HAP Senior Plus (HMO) plans come with a Florida travel benefit*.
To activate your Florida travel benefit, just call Hap Customer Service before you depart. We’re also happy to help you:
An urgent or emergency medical condition can be frightening enough without having to worry about medical coverage. That's why many of our HAP Senior Plus® plans offer worldwide health care coverage for medical emergencies, accidental injuries and urgent care through Assist America.
When traveling 100 miles or more away from home or in another country (for no more than 90 days in a row), Assist America will arrange and pay for all services it provides, such as:
For more information about Assist America, download our free brochure (PDF).
Assist America's mobile app offers smartphone users a one-touch link to the operations center. Members can place a call by tapping a button on their mobile phone.
A few things to keep in mind:
Please refer to your HAP Senior Plus plan's Evidence of Coverage or your Alliance Medicare Supplement® policy for complete benefit information.
If you're a HAP Senior Plus member and would like to request reimbursement, mail a completed Medical Services Reimbursement Form (PDF) along with receipts to:Health Alliance Plan
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HAP has more than 2,000 pharmacies in our network – including nationwide chains such as CVS – so it’s easy to find a convenient location near you. In an emergency or urgent-care situation, you also have coverage for drugs purchased at a non-network pharmacy.
HAP will cover your prescription at a non-network pharmacy if at least one of the following applies:
Before you fill your prescription in any of these situations, contact us to see if there’s a plan pharmacy in your area where you can fill your prescription.
If you go to a non-network pharmacy for any of the reasons listed above, you’ll have to pay the full cost (rather than paying just your copay) when you fill your prescription. Once you’ve paid for the medication, you can submit receipts to HAP for reimbursement. In addition to the normal copay, you’ll be responsible for any costs incurred above the HAP-negotiated pharmacy rate.
Only drugs approved by the Food and Drug Administration and sold in the United States qualify for Medicare Part D benefit coverage. All drugs purchased outside the United States, including Canada, are excluded from Medicare coverage.
To request reimbursement for our share of the cost, mail a completed Pharmacy Reimbursement Form (PDF) along with your receipts to:HAP Claims Division
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It’s important to choose the right Medicare plan. Through guided questions, HAP’s Plan Selector Tool can help you make the right choice.
Send us an email, or give us a call and speak with a licensed HAP Medicare sales representative. Contact us.
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*HAP Senior Plus HMO members must call Customer Service to activate the travel benefit. Claims for nonemergent or nonurgent care may be denied if members do not call Customer Service prior to seeking medical care in Florida. This benefit is only applicable in the state of Florida. Members will be charged in-network cost sharing for covered services received from providers that accept Medicare. All members are charged applicable cost sharing for emergent and urgent care as listed in the Evidence of Coverage. Members should receive prior authorization for services listed in the Evidence of Coverage when traveling to Florida.
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2018 Health Alliance Plan of Michigan
Y0076_2019 HAP Website
CMS Accepted 10/1/2018
HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment in the plans depends on contract renewals. HAP Senior Plus (PPO) is a product of Alliance Health and Life Insurance company, a wholly owned subsidiary of HAP.
This information is not a complete description of benefits. For more information call (800) 868-9885 (TTY: 711) 8 a.m. to 8 p.m., seven days a week (Oct. 1 – March 31) / 8 a.m. to 8 p.m., Monday through Friday (April 1 - Sept. 30).
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