Medicare Eligible Participants

If you are enrolled in Medicare, you must submit a copy of your Medicare card to MCHCP and the reason for your Medicare coverage. After your card is received in our office, you will receive an authorization to release information for Medicare form. This form enables our representatives to assist you with Medicare claims. Medicare must receive a copy of the authorization from MCHCP prior to discussing any claims problems with our representatives.

Benefits payable under MCHCP plans are subject to coordination of benefits with Parts A and B of Medicare. When you are no longer actively employed, Medicare becomes your primary payor for claims. Therefore, you must take both Parts A and B to maximize your coverage. If MCHCP does not receive verification of Medicare Part B, you are responsible for the claims amount Medicare Part B would have covered.

Medicare Part D is Medicare’s prescription drug program. Each year the medical plans’ prescription drug benefits are evaluated to determine if they are creditable (considered equal to or better than Medicare Part D). The prescription benefits through Mercy Health Plans, Coventry Health Care and Coventry Health Care of Kansas have been determined to be creditable. Therefore, you do not need to enroll in Part D and will not be penalized if you sign-up for Part D at a later date.

For information on how benefits are coordinated with Medicare, call your medical plan for details.