Medicare Advantage members

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Learn about your plan details from WellFirst Health — Provided by SSM Health Plan

See 2023 New Member Guide

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Integrity (HMO-POS)

2023 - updated 2/24/23
Annual Notice of Changes
Evidence of Coverage

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FlexSpend (HMO-POS)

2023 - updated 2/24/23
Evidence of coverage

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Harmony (HMO-POS MA-only)

2023 - updated 2/24/23
Annual Notice of Changes
Evidence of Coverage

Using your benefits

Drug list/formulary

2023 Enrollment Guide & Summary of Benefits - updated 2/24/23

Additional benefits – 2023

Pharmacy benefits

Account login

Grievance & appeal rights

Member paid claim form

View wellness programs

Network

Keeping you healthy

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Diabetes care

If you have diabetes, you have special needs. We understand those needs, and our Medicare Advantage plans offer specific benefits for you.

Learn about diabetes care

Care management

Our care management team provides a registered nurse or social worker as your resource when health care may be complex and confusing.

Learn about care management

Other plan details

Grievance and appeal rights

Learn about your plan’s coverage decisions, appeals and complaints processes. View the appointed representative form.

See the government Medicare website for information about filing a complaint.

Learn about grievances and appeals

National Coverage Determination updates

Get updates on your Medicare coverage.

Find out more about updates

Get Medicare automatic penalty withdrawal form

Questions? Contact us.

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Members

Talk with our Customer Care Center at 877-301-3326 (TTY:711).

Not a member?

Talk with one of our Medicare sales reps at 833-942-2158 (TTY:711) You can also call to ask for information in alternate formats and languages.