Are you eligible to
join Senior Dimensions?
To be eligible for Senior Dimensions (HMO), you must:
- Be a Medicare beneficiary living within the plan service area
- Be enrolled in Medicare Parts A and B
- Continue to pay Medicare Part B premiums and Part A
premiums that apply
As specified by standards from the Centers for Medicare
& Medicaid Services (CMS), you will not normally be eligible to enroll in
Senior Dimensions if you:
- Have end stage renal disease (ESRD) - that is,
permanent kidney failure that requires regular renal dialysis or a transplant
to sustain life.
However, there is an exception:
- If you are already enrolled in a Health Plan of Nevada (HPN) employer
group plan, develop ESRD, and are still enrolled with HPN at the time of
entitlement to both Parts A and B of Medicare and apply to enroll in HPN in
your 30-month coordination period (the first 30 months of Medicare coverage
where your employer's health plan pays benefits as the primary carrier), then
you can enroll in a Medicare Advantage Plan offered by HPN.
- You must continue to live in the service area. If you
were an HPN member when you developed ESRD, you cannot be disenrolled from HPN
for that reason.
UnitedHealthcare Medicare Solution
Plans are insured through UnitedHealthcare Insurance Company or
one of its affiliated companies, a Medicare Advantage organization with Medicare
contract. Enrollment in the plan depends on the plan's contract
renewal with Medicare. Enrollment in the plan is available during specific
times of the year. You must have both Medicare Parts A and B to enroll in
the plan. You must continue to pay your Medicare Part B premium, if not otherwise
paid for under Medicaid or by another third party. Prescription coverage subject
to limitations. The benefit information provided is a brief summary, not
a complete description of benefits. For more information contact the plan.
Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy
network, provider network, premium and/or co-payments/co-insurance may change
on January 1 of each year.
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