|
What is Medcore Silver? Who is eligible for Medcore Silver? How do I enroll in Medcore Silver? What makes Medcore Silver different than original Medicare? What is the service area for Medcore Silver? Do I need a Primary Care Physician? Can I make a change in my Primary Care Physician? Do I need a referral to a specialist? What is Medcore Silver?Medcore Silver is a licensed California HMO with a Medicare Advantage Part D Prescription Drug Program contract.Top Who is eligible for Medcore Silver?Anyone with Medicare Parts A and B, including those under 65 entitled to Medicare on the basis of Social Security disability. To join Medcore Silver you must continue to pay your Part B Medicare premium, live in San Joaquin County, use Medcore HP providers, and not have End Stage Renal Disease (ESRD).Top How do I enroll in Medcore Silver?Just call us!We can provide you with an Information & Enrollment Package that includes all of Medcore Silver's information as well as an Enrollment form. If you would like to attend one of our informational seminars, please call 800-320-5688 (TTY 1-800-258-6810 for the hearing impaired) Monday through Friday, 8:00 a.m.- 5:00 p.m. To request information online fill out our Information & Enrollment Package or email us at Member Services. Top What makes Medcore Silver different than original Medicare?Medcore Silver provides benefits beyond original Medicare, including $150 towards eyewear every two years, acupuncture, routine physical exams, health education and preventive services, and worldwide emergency and urgently needed services.Top What is the service area for Medcore Silver?Medcore Silver's service area is San Joaquin County.Top Do I need a Primary Care Physician?Yes, you will need to select a Primary Care Physician from among Medcore HP's 120 Primary Care Physicians. We believe the Primary Care Physician is critical to the coordination of your care and services, and is central to ensuring that your health care needs are met.Top Can I make a change in my Primary Care Physician?Yes, you may make a change in your Primary Care Physician at anytime. The change will be effective on the first of the month following your request. A new membership card will be sent to you noting your new Primary Care Physician. Should you wish to make a change, just call Member Services at 800- 320-5688 (TTY (800)-258-6810 for the hearing impaired, Monday through Friday, 8:00 a.m.- 5:00 p.m. and we will check to make sure the doctor you are requesting is accepting new patients, and if so we will tell you over the phone when the change will be effective.Top Do I need a referral to a specialist?You do not need a referral authorization from Medcore HP as long as you are seeing a specialist within Medcore HP's local network. However, you will need a referral from your Primary Care Physician. Referrals for routine women's health exams, including Mammography, Pelvic Exams and PAP Smears do not require a referral. However, you must see a provider within Medcore HP's local area network.Top |
Links |
|
Silver Home 2008 Benefits Enrollment 2007 Evidence of Coverage Provider Directory FAQs |
