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Medicare Plans

Medicare Advantage

Medicare Advantage plans are offered by private insurance companies that have a contract with Medicare. These plans incorporate Medicare Part A, Part B and often Part D (Medicare Prescription Drug coverage) – into one plan. Medicare Advantage plan availability varies by county. A Medicare beneficiary's county of residence will determine which Medicare Advantage plans are available.

Northeast Georgia Health System Contracted Medicare Advantage Plans

NGHS, which includes Northeast Georgia Medical Center (NGMC), Northeast Georgia Physicians Group (NGPG) and The Heart Center of Northeast Georgia Medical Center, accepts Georgia Medicaid and will be contracted with the following Medicare Advantage plans for 2017 and 2018:

  • Aetna Medicare
  • Cigna Healthspring
  • Coventry Healthcare (Advantra)

Non-contracted Medicare Advantage Plans*

If you have a Medicare Advantage PPO that is not listed under our NGHS contracted plans, as a courtesy NGHS will bill the plan as a non-participating provider. This includes retirees with State Health Benefit Plan (SHBP), insured by Blue Cross Blue Shield and United HealthCare for the 2017 and 2018 plan benefit year. SHBP retirees can still access NGHS facilities and providers without penalty. For benefit information, please call SHBP (contact numbers found here) or call UnitedHealthcare.

To access a guide for SHBP Retirees, please click here.

*In some cases, co-payments and cost-sharing may be greater when utilizing non-participating providers.

Medicare Supplement

NGHS accepts all forms of Medicare Supplement insurance. Sometimes referred to as Medigap insurance, a Medicare Supplement works in conjunction with Original Medicare.  Medicare Supplements provide coverage that is secondary to Medicare, helping to insure the approximate 20% of healthcare expenses not covered by Original Medicare.  Medicare Supplements generally do not include a prescription drug plan, so beneficiaries wanting coverage for medications will need to purchase a stand-alone Medicare Prescription Drug plan.

Need help comparing and enrolling in Medicare Advantage coverage?

For patients needing to purchase Medicare insurance coverage, we understand how complex and confusing the process can be.  There are many different types of Medicare insurance available, and healthcare providers do not accept all forms of Medicare insurance.  For these reasons, NGHS offers the NGHS Medicare Insurance Helpline.

The Medicare Insurance Helpline is a totally free service for patients of NGHS and is serviced by MedicareCompareUSA*, a Medicare-specialty insurance agency that represents all NGHS accepted Medicare Advantage plans and leading Medicare Supplement insurers.

Call toll free 1-866-391-7734 or meet with an agent near you:

Agents are extensively trained and authorized to represent Medicare plans accepted by Northeast Georgia Health System including Medicare Advantage, Medicare Supplements and Medicare Prescription Drug plans.  Agent consultations are private and by appointment, ensuring the agent takes the time to understand your needs and then help you compare your available Medicare plan options in an unbiased manner.  This is a free service, as MedicareCompareUSA agents are paid directly by the Medicare plan should you enroll for insurance coverage. 

Click here to view a list of available locations and to request an agent consultation.

About MedicareCompareUSA

MedicareCompareUSA has a local office in Gainesville to assist our Medicare beneficiary patients in the process of comparing and choosing suitable Medicare insurance.  MedicareCompareUSA agents are extensively trained to assist our patients in the process of matching up Medicare plans to their specific needs, preferences and budget.  When calling the Medicare Insurance Helpline, patients can expect to receive personalized service, unbiased guidance and information, easy to understand answers to Medicare-related questions, and no pressure or obligation to purchase insurance.

The services of MedicareCompareUSA are provided totally free of charge to our patients, as MedicareCompareUSA is paid directly by whichever Medicare plan is chosen by the patient.  We encourage patients to take advantage of this free resource, but we also want to stress that Medicare patients are free to contact Medicare plans directly, work with any licensed Medicare agent, or obtain information by going directly to Medicare (1-800-MEDICARE or www.medicare.gov).

Please Note: Patients with Employer Medicare Plan Coverage

MedicareCompareUSA is not authorized to discuss or represent Medicare plans provided by employers (including SHBP).  If you have questions regarding Medicare insurance provided by your employer, please contact your Plan Benefit Administrator or insurance company directly.

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