With Medicare Advantage plans from WellFirst Health — provided by SSM Health Plan — you'll find comprehensive Medicare coverage and access to quality care and a strong network of providers in a five-county service area in St. Louis City and the surrounding four-county service area: Madison and St. Clair counties in Illinois, and St. Charles and St. Louis counties in Missouri. You must live in the service area to enroll in a WellFirst Health Medicare Advantage plan.
WellFirst Health Medicare Advantage plans include medical, comprehensive dental and prescription drug coverage options. All plans also have added benefits, such as over-the-counter item allowance, hearing, vision, transportation, meal allowance, gym membership and at-home fitness kits, chiropractic, nurse line and wellness rewards.
*In-network; **Out-of network; +Benefit reduces your monthly Part B premium; ^Payments for prescription drugs do not count toward annual maximum out-of-pocket limits
Out-of-network/non-contracted providers are under no obligation to treat WellFirst Health Medicare Advantage members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service.
Call Customer Service at 877-301-3326 (TTY:711) or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
More Medicare details
Medicare Advantage documents
Detailed coverage and benefit information for WellFirst Health Medicare Advantage. View 2021 plan guide
Summary of Benefits
Summarized benefit information for WellFirst Health Advantage plans. See 2021 summary