Beginners Guide to Medicare
Beginners Guide to Medicare
What you need to know as a new Medicare beneficiary.Learn More
Plans with Low or $0 Premiums
Plans with Low or $0 Premiums
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Welcome to Allwell from Sunshine Health.
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!
On September 4, the Department of Health & Human Services has declared a Public Health Emergency in the state of Florida.
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.
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. 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 closed or December 4, 2017, whichever is earlier.
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.
OIG Hotline Scam
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently confirmed that the HHS OIG Hotline telephone number is being used as part of a telephone spoofing scam targeting individuals throughout the country. These scammers represent themselves as HHS OIG Hotline employees and can alter the appearance of the caller ID to make it seem as if the call is coming from the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477). The perpetrator may use various tactics to obtain or verify the victim’s personal information, which can then be used to steal money from an individual’s bank account or for other fraudulent activity. HHS OIG takes this matter seriously. We are actively investigating this matter and intend to have the perpetrators prosecuted.
It is important to know that HHS OIG will not use the HHS OIG Hotline telephone number to make outgoing calls and individuals should not answer calls from 1-800-HHS-TIPS (1-800-447-8477). We encourage the public to remain vigilant, protect their personal information, and guard against providing personal information during calls that purport to be from the HHS OIG Hotline telephone number. We also remind the public that it is still safe to call into the HHS OIG Hotline to report fraud. We particularly encourage those who believe they may have been a victim of the telephone spoofing scam to report that information to us through the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477) or firstname.lastname@example.org. Individuals may also file a complaint with the Federal Trade Commission 1-877-FTC-HELP (1-877-382-4357).
More information is available on the OIG Consumer Alerts webpage at https://oig.hhs.gov/.
Welcome! Whether you are looking for help to improve your health overall or focused on staying healthy, Sunshine Health is here for you. We know that everyone is in a different place on their journey to good health so we provide just the support you need no matter where you are. Our Medicare Advantage plans have benefits to keep you healthy and programs to help you manage your health if you have an ongoing condition. And, we have friendly, professional staff members who are always ready to help you get the most of your benefits and help coordinate the care you might need. If you’re looking for a new Medicare Advantage plan, our helpful, licensed sales representatives will sit down with you to understand your needs and help you make a good decision about which health benefit plan is right for you.
Who is Sunshine Health? We are a group of people dedicated to helping you feel your best by providing Medicare Advantage plans that allows you to get the healthcare you need. We know the unique health challenges that people in Florida face because we live here, too. We are a local health insurance plan serving the people we see every day ― at our grocery stores, movie theaters, and community events.
We offer a Medicare Advantage Prescription Drug (MAPD) in Florida for people who are eligible for Medicare. And, we offer an MAPD plan known as a Dual Eligible Special Needs Plan (D-SNP) that is specifically for people who are eligible for both Medicare and Medicaid. This Medicare Advantage plan works with your existing Medicaid coverage to give you even more benefits. Both of our MAPD plans include Medicare Part A (hospital insurance) and Medicare Part B (medical/outpatient insurance) PLUS other important benefits that help you take care of yourself, with extras like a gym membership, vision care and prescription drug coverage.
Sunshine Health is contracted with Medicare for HMO and HMO SNP plans, and with the Florida Medicaid program. Enrollment in Sunshine Health depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits may change on January 1 of each year. This plan is available to anyone who has both Medical Assistance from the State and Medicare.
This information is available for free in other languages. Please call customer service at 1-877-935-8022 (TTY: 711) for HMO SNP members, or 1-844-293-2636 (TTY: 711) for HMO members. October 1 – February 14, 7 days a week, 8 a.m. to 8 p.m.; February 15 – September 30, Monday – Friday, 8 a.m. to 8 p.m..
Esta información está disponible gratis en otros idiomas. Por favor llame a nuestros Servicios para Afiliados al 1-877-935-8022 (afiliados de la HMO SNP) (TTY 711), 1-844-293-2636 (afiliados de la HMO) (TTY: 711). 1 de octubre - 14 de febrero, 7 días a la semana, 8 a. m. - 8 p. m.; 15 de febrero - 30 de septiembre, lunes - viernes, 8 a. m. - 8 p. m.
Last Updated: 11/08/2017