Doctors HealthCare Plans, Inc. Your Health, Our Commitment
 2020 Ponce de Leon Blvd, Suite PH 1, Coral Gables, FL 33134   
  

Enrollment Information

 

Thank you for taking the time to learn more about Doctors HealthCare Plans, Inc. We know Medicare can be complicated and we are here to help you:

Who Can Enroll?

When Can You Enroll?

How to Enroll

Pre-qualification Assessment for DrCare and DrExtra

Rights and Responsibilities Upon Disenrollment from Plan

Who Can Enroll?

You can generally join a Medicare Advantage Plan if you meet these conditions:

  • You have Part A and Part B
  • You live in the plan’s service area
  • You don’t have End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant) except under certain circumstances (Only applicable for 2020 Plan Year.)

To enroll in a Special Needs Plans (SNP), some additional requirements apply such as:

  • You have both Medicare and Medicaid
  • You meet certain eligibility requirements for Chronic Special Needs Plans (C-SNP). See Pre-qualification Assessment for DrCare and DrExtra for more information.

When Can You Enroll? 

There are six types of election periods during which beneficiaries may make enrollment requests. They are:

  • The Annual Election Period (AEP) October 15-December 7
  • The Initial Coverage Election Period (ICEP)
  • Initial Enrollment Period for Part D (IEP for Part D)
  • The Open Enrollment Period for Institutionalized Individuals (OEPI)
  • All Special Election Periods (SEP)
  • The Medicare Advantage Open Enrollment Period (MA OEP)

General Enrollment Timeline

PRE-ENROLLMENT
October 1–14

Compare Medicare Advantage and Prescription Drug Plans so you’ll be ready to enroll beginning October 15

ANNUAL ELECTION PERIOD
October 15-December 7

If you’re eligible, you can join, switch or drop Medicare Advantage plan with or without prescription drug coverage. Or you may join, switch or drop a stand-alone prescription drug plan.

MA-OEP
January 1-March 31

MA plan enrollees may enroll in another MA plan or disenroll from their MA plan and return to Original Medicare. Individuals may make only one election during the MA-OEP.

LOCK-IN/ SPECIAL ELECTION PERIODS
April 1- October 14

You can’t make a plan change unless special circumstances arise.
Examples include:
– If you move out of your plan’s service area
– If you qualify for both Medicaid & Medicare or have a qualifying Chronic Condition
– If you qualify for “Extra Help”
– If you live in an institution
– Other special circumstances


How to Enroll:

Choose any of the following options below to enroll in Doctors HealthCare Plans:

Download Enrollment Form and Mail to Doctors HealthCare Plans

You can download the Enrollment Form, complete it and mail it to the plan. Please complete all sections on the form including your signature.

2020 Enrollment Application – English / Spanish

2021 Enrollment Application – English / Spanish

Mail completed form and documentation to:

Doctors HealthCare Plans, Inc.
ATTN
: Enrollment Department
2020 Ponce De Leon Blvd., PH 1
Coral Gables, FL 33134

Enroll through the CMS Medicare Online Enrollment Center

www.medicare.gov
Call one of our Licensed Sales Agents

786-420-3427 or 1-833- 639-3427,
7 days a week from 8 a.m. to 6 p.m. (TTY: 711)

 

Pre-qualification Assessment for DrCare and DrExtra

If you would like to enroll in one of our Chronic Disease Plans, the plan must confirm your chronic condition.  Please complete a pre-qualification assessment tool.  Doctors HealthCare Plans, Inc. uses a prequalification assessment tool to ensure you meet the plan’s eligibility requirements.  Doctors HealthCare Plans has until the end of the first month of enrollment to confirm that you have the qualifying condition necessary for enrollment into the Chronic Special Needs Plan.  If Doctors HealthCare Plans cannot confirm that you have the qualifying condition within that time, we will send you a disenrollment notice the first seven calendar days of the following month (i.e., the second month of enrollment) which is effective at the end of that second month.

Pre-Qualification Assessment English / Spanish

Rights and Responsibilities Upon Disenrollment from the Plan

Doctors HealthCare Plans, Inc. will send disenrolled members a letter acknowledging disenrollment within ten (10) calendar days of receipt of the request to disenroll. This letter will include the effective date of disenrollment. Beginning on the effective date of disenrollment, Doctors HealthCare Plans will not cover any health care services received.  Disenrolled individuals may obtain health care services through Original Medicare or through their new health care plan if they enrolled in one.  Please alert your doctors that you have disenrolled from Doctors HealthCare Plans and provide your new insurance information.

For additional information please call us at 1833-342-7463, TTY users should call 711. We are open 7 days a week from 8a.m. – 8p.m.

 

 

 

H4140_DHCPWSENR2021_C
Last Updated: 10/01/2020

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