Frequently Asked Questions about Erickson Advantage

1. Who can join Erickson Advantage?
   
   
2. If I chose not to join the health plan, can I still go to the community Medical Center?
   
   
3. Who provides care to Erickson Advantage members?
   
   
4. What if I want to withdraw from the plan?
   
   
5. Am I covered for emergency care when I am traveling away from the community?
   
   
6. Do I have to file claims with Erickson Advantage?
   
   
7. How do I find out more about Erickson Advantage and see if it is right for me?
   
   
8. What is the Mail Service Pharmacy?

1. Who can join Erickson Advantage?

Erickson Advantage is only available to Erickson Living residents.  As with other Supplemental and Advantage Plans, you must be entitled to Part A and enrolled in Part B. You must continue to pay the Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

Enrolling with us does not affect your Medicaid eligibility. Persons with end-stage renal disease at the time of application are not eligible, except under certain circumstances. 

2. If I chose not to join the health plan, can I still go to the community Medical Center?

Erickson Advantage has a network of physicians/providers in addition to the primary care physicians at Erickson Living medical centers. You may go to the out of network physicians/providers, but you will pay more. To receive preferred benefits, members must use our network of physicians/providers.  

You may disenroll from Erickson Advantage Signature, Signature RX, and Champion plans during certain times of the year, or under certain circumstances. You may disenroll from Erickson Advantage Guardian plan any time of the year. To disenroll, send a written request to us. You may also call 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week. If you disenroll you’ll be guaranteed the chance to repurchase a Medigap policy. During certain times of year, limitations may apply. Call our Erickson Advantage office at 1-800-989-1389,TTY: 711 Monday through Friday 8:30 a.m. – 5:00 p.m., local time for detailed information on enrollment periods.

Certainly!  In an emergency situation, you should immediately seek care. Emergency Health Services are those Covered Health Services necessary for the treatment of an Emergency, provided Worldwide.

There is virtually no paperwork for covered services. You may have to file a claim if you are out of the area and receive care from a provider who will not directly bill Erickson Advantage.

Finding out more about Erickson Advantage is as easy as a stroll down to your community’s Erickson Advantage office, or call 1-800-989-1389, TTY: 711. Both are available Monday–Friday 8:30 a.m. – 5:00 p.m. local time.

8. What is the Mail Service Pharmacy?

Mail Service Pharmacy: Convenient home delivery of your medications at no charge beyond your Part B premium.

Prescription Solutions
Save money, save time with Prescription Solutions Mail Service Pharmacy. Click here to order and manage your prescription medications online.

Prescription Solutions Mail Service Pharmacy is available 24 hours a day, 7 days a week (excluding certain holidays). Feel free to contact them at
1-877-889-6358 TTY 711.
*co-pays on prescription drugs apply

Preferred Mail Service
You are not required to use the plan's Preferred Mail Service Pharmacy, through Prescription Solutions, to obtain a supply of your maintenance medications. You have the option of using Prescription Solutions, a retail extended day supply pharmacy or non-preferred mail service pharmacy in the network to obtain a supply of maintenance medications.

If you choose a retail extended day supply pharmacy or non-preferred mail service pharmacy, you may see out-of-pocket payment differences when compared to using the Preferred Mail Service Pharmacy. You should experience no out-of-pocket payment differences if choosing between a retail extended day supply pharmacy and a non-preferred mail service pharmacy. Your prescriptions should arrive about seven days from the date the completed order is received by Prescription Solutions. If Prescription Solutions needs to contact you or your prescribing physician to clarify information on your order or to request prescriptions from your physician, delivery may take longer.

If you prefer rush delivery, medications can be shipped overnight for an additional charge. Prescription Solutions will contact you if they anticipate there will be an extended delay in the delivery of your medications. If you need your medications immediately, Prescription Solutions can coordinate a refill with a local retail pharmacy. Standard delivery is no charge to U.S. addresses, including U.S. territories.

For copay/copayment amounts, drug coverage information or general plan questions, please call the Customer Service number located on the back of your member ID card.

NOTE: If you are receiving extra help from Medicare, your copay/copayment may be lower or you may have no copay/copayment.