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Medicare Basics is a federal health insurance program. It is available to people 65 and older, people under 65 with certain disabilities and people with end-stage renal disease. When you are ready to decide on a plan, take the time to understand how the plans work. That way, you can make an informed decision and choose the plan that is right for you.

Different parts of Medicare Basics cover different services. The parts of Medicare Basics are:

Part A-Hospital Coverage
  • Helps cover inpatient hospital care.
  • Helps cover care in a skilled nursing facility or hospice.
  • Also helps cover home health care.   
Part B-Medical Coverage
  • Helps cover doctor and outpatient services.
  • May cover preventive services to maintain health or keep illnesses from getting worse.
  • In many cases, those who have Part B coverage pay a monthly premium.   
Part C-Medicare Basics Advantage
  • An alternative to the Original Medicare Basics insurance program and administered by the federal government, Part C gives you the option to enroll in a Medicare Basics Advantage health plan offered by private companies such as 'Ohana.
  • Private companies that offer Medicare Basics Advantage plans are approved by Medicare Basics to provide and administer benefits for their members.
  • Part C plans cover the same services as Part A and Part B, but may also offer additional benefits not covered by original Medicare Basics.   
Part D-Prescription Drug Coverage
  • Helps cover the cost of prescription drugs.
  • Offered by private companies like 'Ohana (requiring a monthly premium).
  • May be a stand-alone Prescription Drug Plan, or may be included with a Medicare Basics Advantage plan (Part C).   

When It Comes to Coverage, You Have Options:

  • You can get health services through Original Medicare Basics and select a private Prescription Drug Plan, like one of 'Ohana's Prescription Drug Plans.
  • You can get both your health services and prescription drug coverage through a Medicare Basics Advantage plan that offers both.
  • You can purchase a Medicare Basics Supplement plan from private insurance companies to cover the gaps in Original Medicare Basics.
For definitions of the variety of Medical terms used, view our glossary.

Important Information

For important information about 'Ohana's Medicare Advantage coverage including eligibility, benefits and more, please see our Conditions and Limitations page.

You have the right to file a grievance or provide feedback directly to Medicare about our plan. Complete and submit the Medicare Feedback and Complaint Form

Medicare has an Office of the Medicare Ombudsman (OMO) that can help you with complaints, grievances and information requests. Visit Medicare.gov for more information about Medicare and/or assistance with complaints and grievances.  

‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare (HMO SNP) is a Medicare Advantage organization with a Medicare contract and a contract with the Hawai'i Medicaid program. Enrollment in ‘Ohana depends on contract renewal.  

You must continue to pay your Medicare Part B premium. If you meet certain eligibility requirements for both Medicare and Medicaid, your Part B premiums may be covered in full. 

How to access coverage in the event of a disaster or local emergency.

In the event of an emergency or natural disaster, WellCare is committed to helping you continue to access care easily.

In a time of crisis, we will: 

Medical Benefits
  • Allow you access to visit non-participating providers
  • Waive authorization requirements of your medical covered services
  • Impose a less expensive in-network copayment and cost share amounts if you need to see a provider who is not part of our network
  • Waive notification requirements as long as all changes (such as waiving authorizations) benefit you
Pharmacy Benefit
  • Allow you to fill medications sooner than usual to ensure you have what you need during the emergency 
These actions will be in effect through the emergency declaration period. Disasters/Emergencies may be declared by the U.S. Government, the Federal Emergency Management Agency (FEMA), or the Governor of any state. Typically, the source which declares the disaster will clarify when the disaster or emergency is over. If however, the disaster or emergency timeframe has not been closed 30 days from the initial declaration, and if CMS has not indicated an end date to the disaster or emergency, the company should resume normal operations 30 days from the initial declaration.

'Ohana offers a Special Needs Plan (SNP) to qualifying individuals. To enroll in a Special Needs Plan, please contact us for more information. 

 

  • Disclaimers

    For important information about 'Ohana's Medicare Advantage coverage including eligibility, benefits and more, please see our Conditions and Limitations page.

    You have the right to file a grievance or provide feedback directly to Medicare about our plan. Complete and submit the Medicare Feedback and Complaint Form

    Medicare has an Office of the Medicare Ombudsman (OMO) that can help you with complaints, grievances and information requests. Visit Medicare.gov for more information about Medicare and/or assistance with complaints and grievances.  

    ‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare (HMO SNP) is a Medicare Advantage organization with a Medicare contract and a contract with the Hawai'i Medicaid program. Enrollment in ‘Ohana depends on contract renewal.  

    You must continue to pay your Medicare Part B premium. If you meet certain eligibility requirements for both Medicare and Medicaid, your Part B premiums may be covered in full. 

  • How to access coverage in the event of a disaster or local emergency.

    How to access coverage in the event of a disaster or local emergency.

    In the event of an emergency or natural disaster, WellCare is committed to helping you continue to access care easily.

    In a time of crisis, we will: 

    Medical Benefits
    • Allow you access to visit non-participating providers
    • Waive authorization requirements of your medical covered services
    • Impose a less expensive in-network copayment and cost share amounts if you need to see a provider who is not part of our network
    • Waive notification requirements as long as all changes (such as waiving authorizations) benefit you
    Pharmacy Benefit
    • Allow you to fill medications sooner than usual to ensure you have what you need during the emergency 
    These actions will be in effect through the emergency declaration period. Disasters/Emergencies may be declared by the U.S. Government, the Federal Emergency Management Agency (FEMA), or the Governor of any state. Typically, the source which declares the disaster will clarify when the disaster or emergency is over. If however, the disaster or emergency timeframe has not been closed 30 days from the initial declaration, and if CMS has not indicated an end date to the disaster or emergency, the company should resume normal operations 30 days from the initial declaration.

  • Special Needs

    'Ohana offers a Special Needs Plan (SNP) to qualifying individuals. To enroll in a Special Needs Plan, please contact us for more information. 

     


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Y0070_WCM_06390E CMS Approved 10/23/2017 Last Updated On: 10/1/2017