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SeniorCare (Cost) HMO Plan and SeniorCare Rx (Cost Plan) - Eligibility

Eligibility

Are you eligible?

Eligible participants must:

  • Live in the Scott & White Health Plan's SeniorCare (Cost) Plan service area PDF document 
  • Is entitled to benefits under Medicare Part A and enrolled in Medicare Part B
  • Is enrolled in Medicare Part B only. If you do not have Medicare Part A, you can purchase it from Social Security or Scott and White Health Plan. 
  • Not have End Stage Renal Disease**

Eligible prescription participants must:

If you do not have Medicare Part A, you can purchase it from Social Security or Scott & White Health Plan.

 When can you enroll?

You can enroll in medical coverage: 

  • When you are entitled to benefits under Medicare Part A and are enrolled in Medicare Part B
  • During open enrollment. Open enrollment is held annually during November 15th through December 31st of each year.
  • If you qualify for a special enrollment period.

You can enroll in prescription coverage:

  • When you first become eligible to enroll for Medicare
  • During open enrollment. Open enrollment is held annually during November 15th through December 31st of each year.
  • If you qualify for a special enrollment period
  • The SeniorCare (Cost) plan prescription plan is optional and only available to SeniorCare (Cost) plan members.

 **If you have End Stage Renal Disease you are eligible to enroll if you are currently a Scott & White Health Plan member or have had a kidney transplant to restore function and you no longer require a regular course of dialysis or kidney transplantation to maintain life.

The above information is current as of October 2010.

"Medicare-Approved HMO"

H4564_WEB_SC_ELIG_2011_REV_122010   CMS Approved 02/08/2011