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Jan 23 2020

#State ps and #Video

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State ps

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Welcome to Allwell from Peach State Health Plan, your Medicare Advantage plan in Georgia.

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HHS DECLARES PUBLIC HEALTH EMERGENCY FOR GA – HURRICANE MICHAEL

Determination that a Public Health Emergency Exists

As a result of the consequences of Hurricane Michael on the State of Georgia, on this date and after consultation with public health officials as necessary, I, Alex M. Azar II, Secretary of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby determine that a public health emergency exists and has existed since October 9, 2018, in the State of Georgia.В

MEMBER ALERT- VERY IMPORTANT INFORMATION – State of Emergency – Hurricane Michael – 10-9-18

Due to Hurricane Michael in the State of Georgia, Governor Nathan Deal declared a state ofВ emergency in the following Counties: Chattahoochee, Marion and Muscogee.

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.В В

For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers.В You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closedВ at 11:59 PM on October 16, 2018.В

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

MEMBER ALERT- VERY IMPORTANT INFORMATION – 9/12/18

Due to Hurricane Florence in the State of Georgia, Governor Nathan Deal declared a state of emergency for the entire state.

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.В В

For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers.В You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until Midnight September 19, 2018 when the Executive Order will close.В

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

2018 Benefit Update: Medicare Diabetes Prevention Program

Medicare Diabetes Prevention Program (MDPP) services will be covered for eligible Medicare beneficiaries under all Medicare health plans. Learn more about this benefit update.

Allwell is a Medicare Advantage plan that provides coverage that is right for you. That means you can see doctors you trust and get the care you need. Whether you are looking for help to improve your health or stay healthy, Allwell is here for you.

Our Medicare Advantage plans are designed to give you:

  • Affordable healthcare coverage
  • Benefits you need to take good care of yourself
  • Access to doctors, nurses and specialists who work together to help you feel your best
  • Coverage for prescription drugs
  • Extra benefits that aren’t covered by Medicare Part A or Part B (Original Medicare)

Choosing a new Medicare Advantage plan can be challenging and confusing. That’s why Allwell will be right there with you, every step of the way.

Take a deep breath and relax as you continue to explore our site. Here you will learn more about Medicare, our health plans, and when you are ready – how to become a member. If you need help or just want to talk to a person, please call us to speak to a licensed sales agent. We are here to help!

Allwell Providers

Allwell Brokers

Allwell from Peach State Health Plan. Georgia’s Medicare Advantage plan.

Medicare coverage should be one of the good things about getting older. With so many details and options to consider, it’s important to get the information you need to make decisions that are right for you.

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Office Hours

From October 1 – March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 – September 30, you can call us Monday – Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays.

Contact Us

Member Services
Allwell from Peach State Health Plan
1100 Circle 75 Parkway, Suite 1100
Atlanta, GA 30339
Attn: Medicare

HMO: 1-844-890-2326; (TTY: 711)
HMO SNP: 1-877-725-7748
(TTY: 711)

This site contains various Peach State Health Plan links and resources. Each link will open a new window and is either a PDF or a website.

You will need Adobe Reader to open PDFs on this site.

This site contains various Peach State Health Plan links and resources. Each link will open a new window and is either a PDF or a website.

You will need Adobe Reader to open PDFs on this site.

Last updated: 02/20/2019В В
Material ID:В Y0020_19_9451WEB_C_09242018

IMPORTANT DISCLAIMERS:

Allwell is contracted with Medicare for HMO, HMO SNP and PPO plans, and with some state Medicaid programs. Enrollment in Allwell depends on contract renewal.

This information is not a complete description of benefits. Call Member Services at HMO: 1-844-890-2326; read more.

IMPORTANT DISCLAIMERS:

Allwell is contracted with Medicare for HMO, HMO SNP and PPO plans, and with some state Medicaid programs. Enrollment in Allwell depends on contract renewal.

This information is not a complete description of benefits. Call Member Services at HMO: 1-844-890-2326; (TTY: 711)
HMO SNP: 1-877-725-7748; (TTY: 711) for more information.

You must continue to pay your Medicare Part B premium. However, for full-dual beneficiaries, the State will cover your Part B premium as long as you retain your Medicaid eligibility.

Allwell complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Read More.

Allwell Dual Medicare (HMO SNP) is available to anyone who has both Medical Assistance from the State and Medicare.

Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Every year, Medicare evaluates plans based on a 5-star rating system.


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SOURCE: SOURCE: NEF6.COM
http://allwell.pshpgeorgia.com/

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