Understanding Your Coverage
Generations Healthcare HMO plans from Universal American’s family of healthcare companies all offer coverage for visits to doctors and specialists, but each type of plan works a little differently.
With Generations Healthcare plans you will choose a doctor from our broad network to coordinate your care. There is no limit on covered office visits, so you can see your doctor as often as you choose.* If you wish to change your doctor, also called your Primary Care Physician (PCP), you may do so at any time. Your PCP is your health advocate - he or she will send you to specialists or hospitals when you need additional care.
Please note that with an HMO plan, you must use providers in the network. You will be responsible for any fees or services provided by doctors or hospitals out of the network. Providers in the network can change at any time.
Next Steps...
Find a doctor or hospital of your choice in our Generations Healthcare plans.
Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1, 2013. Limitations, copayment, restrictions may apply. You must continue to pay your Medicare Part B premium. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.
*You must use plan providers except in emergency or urgent care situations (or for out-of-area renal dialysis). If you obtain routine care from out-of-network providers neither Medicare nor Generations Healthcare will be responsible for the costs.
A health plan with a Medicare contract.
Generations Healthcare HMO is offered by the following organization that contracts with the Federal government: Today’s Options of Oklahoma, Inc., a member of the Universal American family of companies.
Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1, 2013. Limitations, copayments, and restrictions may apply. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. You must continue to pay your Medicare Part B premium. You may enroll in the plan only during specific times of the year. Contact Generations Healthcare for more information. You must have Part A and Part B to enroll in the plan. We have formed a network of pharmacies. To receive plan prescription drug benefits, you must use a network pharmacy, except in non-routine circumstances, and quantity limitations and restrictions may apply. You must receive all routine care from plan providers. You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out‐of‐network providers neither Original Medicare nor Generations Healthcare will be responsible for the costs. You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or Your State Medicaid Office.
This information is available for free in other languages. Please contact our Customer Service number at 1-866-547-3060, 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-800-958-2692) 7 days a week for additional information.
Esta información está disponible sin cargo en otros idiomas. Para obtener más información, comuníquese con el Servicio de Atención al Cliente al número 1-866-547-3060, de 8:00 a. m. a 8:00 p. m. en su zona horaria local (los usuarios de TTY deben llamar al 1-800-958-2692) los 7 días de la semana.