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Medicare Advantage Pre-Enrollment Checklist

Before you enroll in a Medicare Advantage plan, you have some work to do. To help, we’ve created this simple checklist. Before making an enrollment decision, it is important that you fully understand our benefits and rules. If you have any questions, you can call and speak to a Licensed Sales Agent at 833-997-0765 (TTY: 711) .

 

Checklist Icon Understanding the benefits

  • Review the full list of benefits found in the Evidence of Coverage (EOC), especially for those services for which you routinely see a doctor. Visit carefirst.com/medicare or call 855-290-5744 (TTY: 711) to view a copy of the EOC.
  • Review the provider directory (or ask your doctor) to make sure the doctors you see now are in the network. If they are not listed, it means you will likely have to select a new doctor.
  • Review the pharmacy directory to make sure the pharmacy you use for any prescription medicine is in the network. If the pharmacy is not listed, you will likely have to select a new pharmacy for your prescriptions.
 

Checklist Icon Understanding important rules

  • In addition to your monthly plan premium you must continue to pay your Medicare Part B premium. This premium is normally taken out of your Social Security check each month.
  • Benefits, premiums and/or copayments/coinsurance may change on January 1, 2022.
  • Except in emergency or urgent situations, we do not cover services by out-of-network providers (doctors who are not listed in the provider directory).