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Medicare Open Enrollment FAQ

Medicare’s health and prescription-drug plans can change from year to year, so it’s important to review your coverage during Open Enrollment to ensure your plan still meets your needs. 

Need Help?

 

For assistance with health insurance issues, contact SHINE (Serving Health Insurance Needs of Elders), a free program offered by the Florida Department of Elder Affairs and the local Area Agency on Aging. Specially trained SHINE volunteers can provide free, one-on-one counseling and information. For help, call SHINE at 1-800-963-5337 or visit floridashine.org.

To learn more about Medicare, visit medicare.gov, or call 1-800-633-4227 (1-800-MEDICARE ).

SMH’s Accepted Health Insurance Plans

First Physicians Group Accepted Health Insurance Plans

We often have patients ask about Medicare coverage, and we hope this list of Frequently Asked Questions (FAQ) is helpful. We also suggest that patients research health insurance options carefully to ensure they can use the full benefits of the plan and receive care from the doctor and hospital of their choice.

When is Medicare Open Enrollment?

This year’s Medicare Open Enrollment period runs from Oct. 15 through Dec. 7. During that time, Medicare recipients can make changes to their health and prescription drug coverage. Typical changes include switching back to Original Medicare (also known as Traditional Medicare); joining a Medicare Advantage Plan; switching from one plan to another; or joining or changing prescription drug plans.

Any changes made during Open Enrollment will go into effect Jan. 1, 2020.

Which Medicare plans are contracted with BOTH Sarasota Memorial Hospital and First Physicians Group?

Original Medicare — Sarasota Memorial Hospital, its urgent care and outpatient centers, and its First Physician Group practices always accept all Original Medicare and Medicare/Medigap Traditional supplemental plans.

Medicare Advantage — The vast majority of Medicare Advantage plans are HMOs or PPOs that require you to get your care from a specific local provider network. Sarasota Memorial Hospital, its urgent care and outpatient centers, and its First Physicians Group practices will be in-network with the following Medicare Advantage plans through Dec. 31, 2020:

  • Aetna
  • Florida Blue
  • United Health

Medicare Select — We are not a network provider for Medicare Select supplemental plans. Medicare Select members may choose Sarasota Memorial for their care, but depending on your plan’s benefits, you may be responsible for the Part A deductible for non-emergency hospital care. 

PLEASE NOTE: Humana Medicare PPO is contracted with First Physicians Group practices but NOT with Sarasota Memorial Hospital.

Click here for more information on Medicare plans.

* This information is not a solicitation and is not intended to persuade you to make any changes to your relationship with any health insurer. *