Getting the most from your benefits.
Our preventative care approach only works when patients are benefiting from the services their insurance plan offers. That’s why our patient relations managers (PRMs) work closely with patients to make sure they have the coverage that’s right for them.
Our PRMs will first sit with new patients and help figure out if you’re eligible to enroll in a special enrollment period (SEP), or if you need to wait until the normal annual enrollment period in October to enroll in Medicare Advantage plans. If you qualify for SEP, meaning you’re over 65, or younger than 65 but are on Medicare due to a disability for 24 months or longer; or if you qualify due to income requirements, then the process can move forward. The PRM will then connect you with one of our trusted insurance agents who will help you select an insurance plan. They’ll introduce you to a variety of different plans that suit your medical needs. Depending on health and medical requirements, the plans could include things like gym memberships, or free rides to doctor appointments. The insurance agent will provide you with whatever information needed to fulfill your medical requirements.
Explore Medicare benefits right for you.
The PRM can also help see if patients qualify for extra help from the state, like the LIS program or even Medicaid. LIS can help with the rising costs of medications. It’s income based, as is Medicaid. Both of these programs come in handy and help keep out-of-pocket expenses down.
The PRM will also seek out patients throughout the year, as well as speak with your Medicare primary care doctor, and other care team members to see if the plan you’re currently on still makes sense for your healthcare needs.
Shop for Medicare plans.
At Oak Street Health, we’re here to help our patients understand their Medicare options and plans, so they get the benefits that’s right for them. But it’s important to note we are not an insurance company. Instead, we can refer you to agents we know and trust who can help you discover your options and help you navigate the wonderful world of Medicare.
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HMO and PPO insurance plans are the two most common health care insurance plans in the United States. With roughly 70 million American’s having an HMO plan and almost 90 million American’s having a PPO plan, these managed care services are the predominant form of healthcare in America.