Medicare Resources

With hundreds of available Medicare insurance plans that may change benefits or premiums each year, it is more complicated than ever to find Medicare insurance that matches your personal needs, preferences and budget.

We’ve partnered with MedicareCompareUSA, a licensed independent insurance agency, so you can get assistance from their licensed and highly-trained insurance agents when you’re making decisions about enrollment. Their MedicareOnDemand service will help you compare different plans so you can be confident that you’ve chosen the plan that’s right for you.

MedicareOnDemand can help you:

  • Use the Medicare Plan Quote Tool to compare and enroll in Medicare Advantage, Medicare Supplement (Medigap), and Medicare Prescription plans
  • Speak with a licensed and highly-trained agent by phone or schedule an appointment
  • Confirm the Medicare plans accepted by your physicians and NGHS
  • Conduct online research using the Medicare Education Center
  • Review your Medicare coverage and insurance options each year during the Medicare Annual Enrollment Period

MedicareOnDemand is a registered trademark of MedicareCompareUSA, an independent insurance agency not affiliated with the federal Medicare program. Calling the helpline will get you connected with a licensed insurance agent. All services are provided at no cost and without obligation; MedicareCompareUSA and affiliated agents are paid directly by the Medicare plan when enrollment occurs. Healthcare providers receive no financial benefit when patients use the service. MedicareCompareUSA does not offer every plan available in your area. Any information we provide is limited to those plans MedicareCompareUSA represents in your area. Please contact or 1-800-MEDICARE to get information on all of your options.

Code: MCUSA_4007_ProvMedWeb_C     

Additional Medicare Information

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

NGHS Contracted Medicare Advantage Plans

NGHS, which includes Northeast Georgia Medical Center (NGMC), Northeast Georgia Physicians Group (NGPG) and Georgia Heart Institute, accepts Georgia Medicaid and will be contracted with several Medicare Advantage plans.

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 2020 and 2021 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 view the SHBP 2021 Retiree Decision Guide.

NOTE: 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.