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New Medicare Advantage Option Available in the Triangle

November 06, 2019
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A new Medicare Advantage option called Experience Health Medicare AdvantageSM (HMO) is now available to Medicare-eligible people who live in Durham, Franklin, Granville, Lee, Orange, Person, Vance, and Wake counties.

Enroll Now Through December 7, 2019

The nonprofit health insurance plan will offer in-network access to Duke Health primary care and specialty providers, as well as providers from WakeMed Community Care and elsewhere. Enrollment for the new plan started October 15, 2019, and will continue through December 7, 2019. The plan is effective on January 1, 2020.

Experience Health Medicare Advantage Plan Benefits

The Experience Health Medicare Advantage (HMO) plan offers “all‐in‐one” coverage that includes:

  • $0 copay for primary care doctor visits
  • $0 copay for many commonly prescribed drugs 
  • Dental, hearing, and vision coverage
  • SilverSneakers® fitness membership at no additional cost

What Is Experience Health?

Experience Health Medicare Advantage (HMO) is the first plan offered by Experience Health, a new joint venture between Duke University Health System and Blue Cross NC.

“Our goal is to deliver optimal health care to our patients,” said Thomas Owens, MD, Senior Vice President of Duke University Health System. “We are always striving to build stronger relationships between our physicians and patients, provide personalized treatment plans, and simplify how patients schedule appointments and communicate with their providers.”

How to Enroll

For more information about or to enroll in Experience Health, visit ExperienceHealthNC.com or call 1-833-905-1336, 7 days a week from 8:00 am to 8:00 pm (TTY:711).

Disclosures:

Duke Health will continue to contract with and participate in original Medicare and other Medicare Advantage plans.

Experience Health is an HMO plan with a Medicare contract. Enrollment in Experience Health Medicare Advantage (HMO) depends on contract renewal. To join Experience Health Medicare Advantage (HMO), you must have Medicare Part A and Part B and live in the service area (Durham, Franklin, Granville, Lee, Orange, Person, Vance, or Wake counties, North Carolina). Please contact the plan for more information.

Medicare beneficiaries may also enroll in Experience Health Medicare Advantage (HMO) through the CMS Medicare Online Enrollment Center located at www.medicare.gov. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week, or consult www.medicare.gov.

This information is not a complete description of benefits. Call 1-833-905-1302 (TTY: 711) for more information. Other providers are available in the Experience Health Medicare Advantage (HMO) network. Out-of-network/non-contracted providers are under no obligation to treat Experience Health Medicare Advantage (HMO) members, except in emergency situations. Please call Experience Health customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

For accommodation of persons with special needs at meetings, call 1-833-905-1311 (TTY: 711), 8 am - 8 pm, 7 days a week.

Attention: If you speak a non-English language, call 1-833-905-1302 (TTY:711) and you will be connected to an interpreter who will assist you at no cost.

SilverSneakers® is a registered trademark of Tivity Health, Inc. © 2019 Tivity Health, Inc. All rights reserved. Tivity Health is an independent company providing fitness services on behalf of Experience Health.

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