HealthSun Plans and Coverage
Whom do I call when I have a billing question?
Contact the Member Services Department at 305-447-4458 or toll free 1-877-336-2069, TTY users should call 1-877-206-0500 for assistance with billing issues.
How do I get care during a disaster?
What if I have a medical emergency while traveling outside the service area?
If you need care when you are outside the service area, your coverage is limited. The only services we cover when you are outside our service area are care for a medical emergency, urgently needed care, renal dialysis and care that HealthSun Health Plans or a plan provider has approved in advance.
What to do if you have a medical emergency or urgent need for care?
In case of an emergency, you should get care immediately. You do not have to contact your PCP or receive prior authorization in case of an emergency. You can dial 911 for immediate help by phone or go directly to the nearest emergency room, hospital, or urgent care center.
What to do if it is not a medical emergency?
If you need to talk with your PCP or get medical care when the PCP’s office is closed, and it is not a medical emergency, call the primary care physician’s office number located on your HealthSun Health Plans membership card. There will always be a physician on call to help you. This physician will call you back and tell you what to do.
How do I end my plan membership?
You can call 877-336-2069 or send a request in writing to HealthSun Health Plans 9250 W Flagler St Suite 600, Miami, FL 33174. Contact Member Services if you need more information on how to end your membership.
-or- You can contact Medicare at 1-800-MEDICARE (1-800-633- 4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.
How can I disenroll?
Member’s Right and Responsibilities Upon Disenrollment
For further information on disenrollment rights and responsibilities please contact our Member Services Department at (877) 336-2069. TTY users should call (877) 206-0500. We are available Monday through Friday from 8:00 a.m. – 8:00 p.m.
If we end your membership with our health plan we will inform you of our reason in writing and explain how you may file a complaint against us if you wish to do so.
How can I get Extra Help with my Medicare costs?
Extra Help is also known as the Low Income Subsidy (LIS). The LIS program is for Medicare beneficiaries with limited income and resources to help them pay for their prescription drug costs including monthly premiums, annual deductibles, and copayments. Many Medicare beneficiaries are eligible for these savings and don’t know it. Those who qualify will enjoy free drug coverage or reduced costs on their Part D benefits.
Get more information on how to receive Extra Help.
Medicare and Fraud
How do I protect myself from fraud?
Protect your Medicare by protecting your Medicare number. Learn how to protect yourself, your loved ones, and Medicare from fraud:
Where can I get more information on Medicare?
For more information about Medicare Advantage plans and Social Security benefits you can call or go online:
Centers for Medicare and Medicaid Services
7500 Security Blvd.
Baltimore, MD 21244-1850
1-800-633-4227
TTY 1-877-486-2048
24 hours a day; seven days a week
www.Medicare.gov
Social Security Administration
Office of Public Inquiries
1100 West High Rise
6401 Security Blvd.
Baltimore, MD 21235
1-800-772-1213
TTY 1-800-325-0778
Monday through Friday
8:30am - 3:00pm
www.ssa.gov
Railroad Retirement Board
Chicago District Office
844 N. Rush Street
Ninth Floor
Chicago, IL 60611-2092
1-800-808-0772
TTY 312-751-4701
24 hours a day, 7 days a week
www.rrb.gov
Additional Resources
Centers for Disease Control and Prevention
CDC.gov
Medicaid Information
Medicaid.gov
Multi-language Interpreter Services
Does HealthSun offer Multi-language Interpreter Services?
Yes, you can find more information on Multi-language Interpreter Services here.
