New to Medicare

Explore your options

Are you eligible for Medicare now? Or maybe you will be soon. WellFirst Health — Provided by SSM Health Plan — will help you understand your Medicare coverage options. 

All Medicare Advantage plans we offer include medical and comprehensive dental coverage. Most plans include prescription drug coverage, and some cover in-home and virtual support and companionship. All plans have added benefits like over-the-counter allowance, hearing, vision, transportation, meals, chiropractic, nurse line, fitness benefits and wellness rewards.


Educational seminars & webinars

Learn about Medicare at our educational sessions. We'll talk about eligibility, enrollment and information about the different parts of Medicare. These sessions do not include Medicare plan-specific information due to federal regulations.

Sign up for an educational session

Ozzie Smith holding a card

paid spokesperson

Eligibility

You are eligible for Medicare if you are a legal U.S. resident and one of the following applies to you:

  • You are within three months of turning 65 years old or are over 65 years old
  • You are any age and have a qualifying permanent disability
  • You are any age and have been diagnosed with end-stage renal disease

Learn about the ABCDs of Medicare

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Original Medicare

Administered by the federal government
Once you decide to join Medicare, you have a few different options. The federal government refers to these Medicare benefits and options as Parts A, B, C and D. No matter which option you choose, the first step is the same: Enroll in Original Medicare, also known as Parts A and B.
 
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Part A

Hospital coverage inpatient care
Hospital room
  • Inpatient acute care
  • Inpatient mental health care
  • Skilled nursing facility care
  • Home health services
  • Inpatient tests and services
  • Other
Senior couple smiling while hiking in woods

Part B

Medical coverage outpatient care
  • Doctor visits (including annual wellness visit)
  • Outpatient services
  • Clinical lab services
  • Some preventive care
  • Durable medical equipment, such as oxygen and wheelchairs
  • Diagnostic tests such as X-rays and MRIs
  • Other
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Additional coverage

Original Medicare doesn't cover everything. Many Medicare recipients select plans from private health plan companies such as WellFirst Health — Provided by SSM Health Plan — for more coverage options and to spend less out-of-pocket.
Senior couple dining outside

Part C

Medicare Advantage
  • Replaces Original Medicare Parts A and B
  • Has an annual maximum out-of-pocket
  • May include Part D coverage (drug prescription)
  • May have additional benefits like dental, vision and more
Senior couple laughing while looking at a tablet outside

Part D

Prescription drug coverage 
  • Covers prescription medications
  • Offered in Medicare Advantage plans with Part D, or can be purchased separately in addition to Original Medicare.

When to sign up for Medicare

Initial Enrollment Period (IEP)

This is the seven-month period in which you can enroll in Medicare for the first time. If you are enrolling for the first time due to disability, your IEP timing is based on your disability date.

Annual Enrollment Period (AEP)

You can make changes to your medical and prescription drug coverage every year from Oct. 15–Dec. 7. Your changes are effective Jan. 1 of the following year.

Open Enrollment Period (OEP)

From Jan. 1 - March 31, if you currently have a Medicare Advantage plan you may switch to another Medicare Advantage plan, or disenroll from your current Medicare Advantage plan and return to Original Medicare.

Special Enrollment Period (SEP)

This is a period when Medicare recipients may change medical and prescription drug coverage outside of AEP, if they meet certain requirements and have a qualifying event, such as moving to a new service area or leaving an employer-based plan. Learn more about SEP.

Questions about your qualifications?

For information about Medicare eligibility and enrollment policies and limitations, visit medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

Medicare basics


Questions? Contact us.

Senior man using phone and laptop in his living room.Members
Talk with our Customer Care Center at 1-877-301-3326 (TTY:711).
 
Not a member?
Talk with one of our Medicare sales reps at 1-833-551-0565 (TTY:711) You can also call to ask for information in alternate formats and languages. 

Mailing address

WellFirst Health — Provided by SSM Health Plan
PO Box 56099
Madison, WI 53705-9399
 
View our Medicare disclaimers.

H8019_wellfirsthealth.com
Updated 1/5/21