The Health Plan SecureCare SNP (HMO D-SNP)
H3672-019
Plan Overview
SecureCare SNP (HMO D-SNP) is a Medicare Advantage Health Maintenance Organization (HMO). It covers all of the health care you need, including preventive care, doctor visits, hospital stays, surgery and (if you choose) prescription drugs. In most cases, members must have access care from a network of providers.
Out-of-network coverage is limited to emergency services, urgently needed services, out-of-area renal dialysis and prior authorizations. Members have access to a broad network of health care providers in Ohio and West Virginia.
If you have any questions regarding receiving care or services from an out-of-network provider, please contact The Health Plan Customer Service at 1.877.847.7907 (TTY: 711).
If you would like to talk to someone regarding your possible plan options, or for more information on the Medicare Advantage Plans offered by The Health Plan, please call 1.877.847.7915 (TTY: 711), or fill out a form to Request More Information.
Coverage Area
Ohio
Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Delaware, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Madison, Mahoning, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Van Wert, Vinton, Warren, Washington, Wayne, Wyandot
West Virginia
Barbour, Berkeley, Boone, Braxton, Brooke, Cabell, Calhoun, Clay, Doddridge, Fayette, Gilmer, Grant, Greenbrier, Hampshire, Hancock, Hardy, Harrison, Jackson, Jefferson, Kanawha, Lewis, Lincoln, Logan, Marion, Marshall, Mason, Mcdowell, Mercer, Mineral, Mingo, Monongalia, Monroe, Morgan, Nicholas, Ohio, Pendleton, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Wayne, Webster, Wetzel, Wirt, Wood, Wyoming
We have designed our Medicare managed care plans with a focus on choosing a doctor who knows you, a hospital that is close to home, access to doctors who specialize in care of seniors and service that is responsive and personal. We are giving you the health coverage you need, and the peace of mind you want. Below you will find links to documents that include more information about your coverage. Click on one of the links below to learn more.
Summary of Benefits
This document provides a summary of your medical and prescription drug benefits, including copay information.
Evidence of Coverage
Detailed explanation of the health and/or prescription drug benefits and services available to you.
Annual Notice of Change (ANOC)
A notice of benefit and cost share changes for the upcoming plan year.
Medicare Health and Prescription Drug Plan Ratings
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. Medicare rates how well Medicare Advantage plans perform in different categories such as rating from patients, patient safety, customer service and detecting and preventing illness.
Coverage Decision, Appeals & Grievance
Includes information and documents about our coverage decision, appeals, and grievances processes.
Terminating Membership
Information refers to beneficiaries, plan rights, and your responsibility upon disenrollment.