Medicare

Hispanic Physicians proudly services Medicare members in  Los Angeles, Riverside, Orange, Kern, and San Bernardino through Alignment, and Brand New Day.

Additional benefits for the above two plans include:

Nurse helpline:

• Alignment
• Brand New Day

Personal Emergency Response System (PERS)

• Alignment
• Brand New Day

See Plan portals to view additional Member benefits:

• Alignment
• Brand New Day

Silver Sneakers Fitness Membership (Gym)

Colonoscopies: Medicare covers this test once every 120 months (or every 24 months if you’re high risk) or 48 months after a previous flexible sigmoidoscopy. There’s no minimum age requirement. You pay nothing for

the test if your doctor or other qualified health care provider accepts assignment. 

Note: If your doctor finds and removes a polyp or other tissue during the colonoscopy, you may pay 20% of the Medicare-approved amount for your doctors’ services and a copayment in a hospital outpatient setting. The Part B deductible doesn’t apply.

• Medicare benefit changes for 2022
• Medicare and You
• Medicare in California

For additional information on any of these plans, call Anthem representatives today at 916-207-9718. Tell them HIspanic Physicians sent you!

*Please note, all plans are based on qualifying*

What is Medicare and Do I qualify?

Medicare is a federal health insurance program comprised of four main parts: Parts A, B, C and D. Together, Parts A and B are known as “Original Medicare” offered by the government.

United States citizens 65 and older OR those that have been legal residents for at least 5 years and are 65 and older and them or their spouse have worked for at least 10 years (or 40 quarters) in Medicare-covered employment are eligible for Medicare coverage. Someone also may be eligible for Medicare younger than 65 if they meet criteria for certain disabilities. Requirements may vary among the different Medicare plans.

Please click the link to see if you are eligible for Medicare and to calculate your premium.

Medicare Part A Eligibility Hospital Insurance:

• You’re at least 64 years and 9 months old, or;
• You’re under 65, but live with a certain disability or conditions; or
• You have end-stage renal disease (ESRD).

Medicare Part B Eligibility Medical Insurance:

• You’re at least 64 years and 9 months of age, or;
• You’re under 65, but live with a certain disability or condition; or
• You have end-stage renal disease (ESRD).

Medicare Part C Eligibility (Medicare Advantage Plans – offered in California):

• You’re entitled to Part A, and;
• You’re entitled to Part B, and’
• You do not have end-stage renal disease (ESRD), unless you meet an exception, and;
• You live in the plan’s service area.

You’re eligible to enroll in Medicare Part D as long as you have either Medicare Part A or Part B.

If you’re enrolled in both Medicare Part A and Part B (but not Medicare Advantage or Medicaid), you’re eligible to enroll in a Medigap plan to supplement your Medicare coverage. You’ll have a six-month guaranteed-issue window during which you can sign up for any Medigap plan available in your area. In most states and most circumstances, you’ll have to go through medical underwriting if you decide to apply for a Medigap plan after that window ends.

How Do I Enroll in Medicare?

https://www.ssa.gov/pubs/EN-05-10500.pdf

Online at: www.socialsecurity.gov

https://www.ssa.gov/benefits/medicare/

Call Social Security: 800.772.1213

What's Medicare Supplement Insurance (Medigap)?

Medigap is Medicare Supplement Insurance that helps fill "gaps" in  Original Medicare and is sold by private companies. Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. A Medicare Supplement Insurance (Medigap) policy can help pay some of the remaining health care costs, like:

• Copayments
• Coinsurance
• Deductibles

https://www.boomerbenefits.com/

https://bndhmo.com/BrandNewDay/media/BND-Media/2022_Resource-Guide_EN.pdf

https://bndhmo.com/Members/Plan-Documents