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AbilityCare (HMO SNP), both Medicare and Medicaid

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Call Member Services

Toll free: 1-866-567-7242
or 711 (hearing impaired)

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AbilityCare (HMO SNP) is a Special Needs Basic Care program for people with disabilities who live in our 12-County service area. AbilityCare (HMO SNP) is designed to help people with disabilities access the health care, medications, and support services they need. There are no additional costs to join AbilityCare (HMO SNP). To be eligible for AbilityCare (HMO SNP) you must:

  • Be certified disabled by the Social Security Administration or State Medical Review Team (SMRT);
  • Be at least 18 and under the age of 65 at the time of enrollment;
  • Be eligible for Medical Assistance;
  • Have Medicare Parts A and B with South Country;
  • Live in our service area (see map) .

For people with Medicare and Medical Assistance, AbilityCare (HMO SNP) provides Medicare Part A (hospital), Part B (medical), Part D (prescription drug), and Medical Assistance coverage.

Some plan members may be paying a premium for Medicare Part A and/or Medicare Part B, although many members do not pay these premiums due to Medical Assistance eligibility. If you are paying for your Medicare Part B, you must continue to pay your Medicare Part B premium to stay a member of our plan.

There is no premium and no deductible for AbilityCare (HMO SNP).

AbilityCare (HMO SNP) Features:

  • A large network of providers where members can receive care without referrals
  • Someone located in the county who helps members get the services and supports they need
  • A formulary (list of covered drugs) that is designed for people with disabilities
  • Ask Mayo Clinic: A 24-hour nurse helpline

HIV Screening

Did you know that annual screening for Human Immunodeficiency Virus (HIV) is a covered benefit for South Country members? Call Member Services toll free at 1-866-567-7242 for specific benefit information. If you are at risk, be safe! Get tested!

Not a Member Yet?

There are many more benefits to being an AbilityCare (HMO SNP) member, and the best part is, there is no extra cost to you! See How to Enroll for more information. Or, if you wish to speak with someone about your enrollment questions, please call us toll free at 1-866-567-7242, 8 a.m. - 8 p.m., 7 days a week. We are happy to help!

Enrollment Questions and Assistance

Call: 1-866-567-7242 (toll free)
For the hearing impaired: 711 (TTY)
Hours: 8 a.m. – 8 p.m., 7 days a week

Disenrollment

You may end your membership in our plan at any time. Ending your membership in our plan may be voluntary (your own choice) or involuntary (not your own choice). Please refer to Chapter 10 of this year's Evidence of Coverage (see under Member Materials in the right column of this page) for more information.

Potential for Contract Terminations

All health plans in the Medicare program agree to stay with the program for a full year at a time. Each year the plans decide whether to continue for another year. Even if a Medicare health plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue, it must send you a letter at least 90 days before your coverage will end. The letter will explain your options for health care coverage in your area and give you information about your rights to other Medicare coverage. You can choose another health plan if one is available.