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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.
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 or Kmart – so it’s easy to find a convenient location near you [link to Find a Doctor, Pharmacy or Facility, page ID 7]. 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
Not sure what plan is right for you?
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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Copyright © 2017 HAP
2017 Health Alliance Plan of Michigan
Y0076_ALL_2018029 Website MP
CMS Approved: 6/26/2017
Last Update: 6/21/2017
HAP Senior Plus HMO, HMO-POS, and PPO are health plans with a Medicare contract. Enrollment in these plans depends on contract renewal. HAP Senior Plus PPO is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP. Alliance Medicare Supplement 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. Contact the plan for more information. Limitation, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network, and or provider network may change at any time. You will receive notice when necessary.
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