HNE Medicare Premium No Rx (HMO)

This is a high level overview of premium and benefit information for this plan. HNE Medicare Premium No Rx (HMO) does NOT cover Medicare Part D prescription drugs. This plan does cover Medicare Part B prescription drugs.*

Make sure that you are familiar with HNE Medicare Advantage plan options before you decide to enroll online. Explore Your Plan Options to review this important information.

If you have additional questions about which HNE Medicare Advantage plan option may be right for you, please call us, attend an Informational Session, or visit us at our office in Springfield. Our contact information is listed below.

*Some services require prior authorization. Our network providers know what we cover under your benefit plan. They also know what requires prior authorization and will request approval from HNE on your behalf.

**Prior Authorization required for rehabilitation services after visit 25 or if services are rendered in a SNF as an outpatient benefit when member is a resident of the SNF.

+HNE additional benefits include allowances that must be used within the one or two calendar year period, as well as other additional benefits. Refer to the Summary of Benefits or call Member Services if you have questions about what items and services are covered.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. benefits, formulary, pharmacy, network, premium and/or copayments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

See Eligibility Requirements on the Enrollment Form and Instructions page for more details.

Remember, you can join, switch, or drop a Medicare Advantage Plan only at certain times of year. See Key Enrollment Dates for details.