PHP Medicare’s contract is renewed annually, and the availability of coverage beyond the end of this year is anticipated but not guaranteed. By law, plan sponsors may choose not to renew their government contract, and the government may also refuse to renew the contract. If this happened, beneficiaries would need to join another plan offered in their area. Each year, we are also allowed to reduce our service area and/or no longer offer services in the areas where a beneficiary resides. Such a change is not anticipated. If it happened, beneficiaries would need to join another plan offered in their area.
PHP Medicare has HMO-POS and PPO plans with a Medicare contract. Enrollment in PHP Medicare depends on contract renewal. All PHP Medicare plans include Part D drug coverage. To enroll, you must have both Medicare Parts A and B and reside in the following Michigan counties Bay, Calhoun, Clinton, Eaton, Gratiot, Huron, Ingham, Ionia, Jackson, Kalamazoo, Livingston, Montcalm, Saginaw, Sanilac, Shiawassee, Tuscola, or Washtenaw.
You must continue to pay your Medicare Part B premium. Please note that enrollment is limited to specific times of the year.
Out-of-network/non-contracted providers are under no obligation to treat PHP Medicare (HMO-POS, PPO) members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. PHP Medicare plans allow members to see out-of-network providers (non-contracted providers).
Medicare beneficiaries may also enroll in PHP Medicare through the CMS Medicare Online Enrollment Center located at <span class="link tooltip">Medicare.gov.</span>