To enroll with HealthSun Health Plans, you must have Medicare Part A and Medicare Part B and live in one of our covered service areas. View our Summary of Benefits for plans and service areas available to you.
Typically, beneficiaries cannot enroll in a Medicare Advantage Plan outside of the Open Enrollment Period. However, in certain situations a Special Election Period (SEP) may be used during the other months of the year so that beneficiaries may be able to join, switch, or drop a Medicare Advantage HMO plan or a Prescription Drug plan.
Please call HealthSun Health Plans Member Services Department if you would like more information about enrollment in our Medicare Advantage plans:
(877) 336-2069. TTY users should call (877) 206-0500.
Plan Change Form
What questions should I consider when choosing a Medicare Health Plan?
Before you select a plan, carefully consider the following questions:
- Do you already have a doctor?
- Are you choosing a new doctor?
- Is freedom to choose doctors and hospitals necessary to you?
- Do you need a prescription drug plan?
- What drugs are covered by the plan’s formulary?
- Does your doctor feel comfortable with the plan’s guidelines
for your treatment?
How can I find out if my provider participates in HealthSun Health Plans network?
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.
How can I disenroll?
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.
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HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Enrollment in HealthSun Health Plans depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. Star rating is for contract years 2018, 2019, 2020, 2021, and 2022. HealthSun complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-336-2069. (TTY: 1-877-206-0500). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-877-336-2069. (TTY: 1-877-206-0500).
Do you need to file a complaint? File your complaint online via CMS by submitting the Medicare Complaint Form. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare.
Report suspected instances of FWA or any other non-compliance activity. For your convenience, you can call our Compliance Hotline at 1-844-420-0080 (USA and Canada only) available 24 hours a day and 7 days a week provided by LightHouse Services. Para español llama al 1-800-216-1288 (Si usted esta llamando desde México marque el 1-800-681-5340). You can also email issues to [email protected] or fax to 215-689-3885 (must include the company name on the email and fax).