SelectHealth is an HMO plan sponsor with a Medicare contract. Enrollment in SelectHealth
Advantage depends on contract renewal.
The Medicare Contract is renewed annually, and the availability of coverage beyond the end of the
current year is not guaranteed. You are eligible to enroll if you are entitled to Medicare Part A
and enrolled in Medicare Part B and you live in the service area. You must continue to pay your
Medicare Part B premium. With some exceptions you can only enroll during certain times of the year.
Medicare beneficiaries may also enroll in SelectHealth Advantage through the CMS Medicare
Online Enrollment Center, located at www.medicare.gov.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may apply.
Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.
The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Other providers/pharmacies/physicians are available in our network.
At sales meetings, a sales person will be present with information and applications.
For accommodation of persons with special needs at sales meetings call Member Services at Toll-Free:
855-442-9900 (TTY Users: 711)
All Medicare Advantage plans and Medicare Part D plans agree to stay in the program for a full calendar year
at a time. Plan benefits and cost-sharing may change from calendar year to calendar year. Each year, plans can
decide whether to continue to participate with Medicare Advantage or Medicare Part D. A plan may continue in
their entire service area (geographic area where the plan accepts members) or choose to continue only in certain
areas. Also, Medicare may decide to end a contract with a plan. Even if your Medicare Advantage plan or Medicare
Part D plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue for an
additional calendar year, it must send you a letter at least 90 days before your coverage will end. The letter
will explain your options for Medicare coverage in your area.
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Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.
SELECTHEALTH, SELECTHEALTH ADVANTAGE, INTERMOUNTAIN HEALTHCARE, and the SelectHealth and the Intermountain Healthcare
logos are registered trademarks of SelectHealth, Inc. or Intermountain Health Care, Inc., and may not be used except
with written permission of the respective owner.