The service area for our plans, in southern Indiana, includes:

• Gibson

• Knox

• Perry

• Pike

• Posey

• Spencer

• Vanderburgh

• Warrick
  

* * You must live in one of these counties to join our Medicare plans.

Get your quality Medicare coverage  through Welborn Health Plans!

Welborn Health Plans (WHP) has a contract with the Centers for Medicare and Medicaid Services (CMS) to meet the health care needs of people in Medicare and who want to be part of a managed care plan.  these counties to join our Medicare plans.



Do you meet the following requirements?

• Age 65 or older
• Under Age 65 but receiving SSI due to disability
• Entitled to Medicare Part A & B

 

WHP has chosen a group of health care providers to help us meet your needs. These doctors and specialists, hospitals, labs and other health care facilities make up our Provider Network. By using our network of physicians and hospitals*, you are ensured a higher level and preset copays. This means you will not pay more than listed in your Summary of Benefits, unlike other PPO plans or Private Fee For Service (PFFS) plans. By choosing a PCP, all the pre-authorizations and referrals are handled by their office.

 
But I want to keep my own own doctor. If you want to keep seeing your current doctor or check to see which doctors are available close to your home, please search our Provider Directory or call our Medicare Department and they will send a directory to you by mail. Call us if you have any questions or concerns regarding our plans or your coverage.

Comparison of 2009 Medicare Plans

	WHP Silver	WHP Silver Rx	WHP Platinum Rx	WHP Cost 1876 Plan (Plus/ Basic)
Monthly Premium	$0	$44	$69	$XXX/$XXX The Cost plan is closed to new members and we cannot accept new applications for 2009
Annual Deductible	$0	$0	$0	$0
PCP Office Visit	$10	$10	$10	$0
Specialist Office Visit	$25	$25	$20	$0
Inpatient Hospital Care	Days 1-10: $100/day Days 11+: $0/day	Days 1-10: $100/day Days 11+: $0/day	$250/hospital stay	$0/day copay
Emergency Room Visit - Not Admitted	$50 Worldwide	$50 Worldwide	$50 Worldwide	$50
Drug Coverage (Generic)	No coverage (you pay 100%)	$8 copay for 30-day supply	$8 copay for 30-day supply	No coverage (you pay 100%)
Drug Coverage (Brand)	No coverage (you pay 100%)	$39 copay for 30-day supply	$30 copay for 30-day supply	No coverage (you pay 100%)
Dental	Yes	Yes	Yes	No
Hearing	Yes	Yes	Yes	Yes
Vision	Yes	Yes	Yes	Yes