OSF HealthCare has been taking care of the health and wellness needs of people living in the communities it serves for more than 140 years. To further serve those communities, OSF HealthCare recently introduced OSF MedAdvantage – four Medicare Advantage plans for Medicare eligible recipients.
These plans were designed to provide a new choice in coverage and care within the OSF provider network and offer a simpler, more coordinated, total health care experience.
A trusted network
“These plans are built deliberately around OSF providers, affiliated providers and preferred providers,” said Randy Billings, senior vice president of population health at OSF HealthCare. “These plans allow us to keep care more coordinated – to give participants in the plans access to what they need vs. other plans that may have a narrower network.”
Partnering with Health Alliance to administer the OSF MedAdvantage plans, OSF HealthCare has rolled out the plans in 17 Illinois counties that have access to the well-respected OSF provider network.
“Because we are local, we have fewer barriers to providing a better, more coordinated total health care experience,” Billings said. “The OSF MedAdvantage plans offer complete benefits for the whole person, such as dental, hearing, vision and wellness.”
Four plans to choose from
With OSF MedAdvantage, your in-network primary care provider (PCP) and health plan work as a team. Your PCP oversees all your health care, whether you select an HMO or POS plan.
The four OSF MedAdvantage plans include Core and Select, which are HMO plans, as well as Open and Plus options, which are POS plans. Monthly premiums begin at $0.
All plans have an out-of-pocket cap and provide free virtual visits, health club benefits, $0 prescription deductible, $0 co-payment for preferred generics, and with some of the plans a $0 copay for PCP visits after deductible and much more.
“With an HMO plan, you must go to the doctors and hospitals in our large network of providers, unless it’s an emergency or for urgent care. You choose a personal doctor to manage your health care,” Billings said. “With a POS plan, you have an in-network PCP to oversee your care and refer you to specialists, but you have the flexibility to see out-of-network providers.”
Why choose OSF MedAdvantage?
“OSF HealthCare has a say in how these plans are designed and how we implement them, clinically,” Billings said. “It’s our continuum of providers, so we can more quickly identify benefits that may be better tailored to the patients’ needs.”
“The benefit of switching from traditional Medicare or a Medicare Supplement plan to a Medicare Advantage plan are the additional benefits that come with it,” he said. “For OSF HealthCare, the OSF MedAdvantage plans keep us accountable. It’s not just about treating you when you’re sick, which we do. It’s also about resources focused on working to keep you healthy in the first place, managing the coordination of your care and giving you the access to the type of care you need when you need it.”
Now is the time to select a plan that can better serve your needs. The OSF MedAdvantage plans offer choices for different needs and different budgets.
You can enroll from October 15 to December 7, 2019.
To get more details and to select a plan, visit us online or call 1-877-633-2531.
OSF MedAdvantage is administered by Health Alliance Medicare – a Medicare Advantage Organization with a Medicare contract. Enrollment in OSF MedAdvantage depends on contract renewal.
Out-of-network and/or non-contracted providers are under no obligation to treat OSF MedAdvantage members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
For accommodations of persons with special needs at meetings, call 1-877-633-2531 (TTY 711). Other pharmacies, physicians and providers are available in our network. OSF HealthCare may also contract with other plans/Part D sponsors.