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Now, select individual HMO Medicare Advantage plans come with a travel benefit*.
To activate your travel benefit, just call Hap Customer Service before you depart. We’re also happy to help you:
Arizona, Texas and Michigan (out-of-area) is a new benefit for 2020 plans, 2019 plans only extend to Florida.
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.
Log in to your hap.org account and select Assist America in the Quick Links to get your exclusive code to use this service.
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
Send us an email, or give us a call and speak with a licensed HAP Medicare sales representative. Contact us.
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*Select HAP Medicare HMO members must call Customer Service to activate the travel benefit. Claims for nonemergent and non-urgent care may be denied if you do not call Customer Service prior to seeking medical care in Arizona, Florida, Michigan (out-of-service area), and Texas. This benefit is only applicable in the states referenced. 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 Arizona, Florida, Michigan (out-of-service area), and Texas.
Many of HAP’s individual Medicare Advantage plans include this benefit. If your employer provides your Medicare coverage, your benefit package is dependent on what your employer selected.
Copyright © 2019 HAP
2019 Health Alliance Plan of Michigan
Y0076_ALL 2020 HAP Website_M
CMS Accepted 9/29/2019
Last Updated 9/26/2019
Health Alliance Plan (HAP) has HMO, HMO-POS, PPO 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 depends on contract renewals.
This information is not a complete description of benefits. For more information call Medicare Michigan customer service at (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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