Medicare Counseling: Dual Eligible Special Needs Plans – Cooperative Advantage Dual (GHC)

Check what other Dual Eligible Special Needs Plans (D-SNPs) are available in your county and what Medicaid plans they accept. (Excel)

Cooperative Advantage Dual by Group Health Cooperative of Eau Claire (HMO D-SNP, H7598-003)

 For calendar year 2024

 Contact information

  Phone: 800-460-4641; TTY: 711
 Website: Group Health Cooperative website

 Eligibility

Who can get this plan

People with:

• Full benefit Medicaid
• The Qualified Medicare Beneficiary tier of the Medicare Savings Programs

 Service area

Star rating

Plan is too new for a star rating

Coverage

Check if your doctors are in-network: Member resources

Check if your prescription drugs are covered: Drug search

  Costs

  Doctor visit: No cost

  Hospitalization: No cost

Skilled nursing facility: No cost

Emergency department: No cost

Extra benefits

Details: Summary of Benefits

  Basic dental: Two visits a year with exams, cleanings, x-rays and fluoride treatments for no cost

  Extra dental: $1,000 towards non-routine diagnostic, and restorative services, endodontics, periodontics, and extractions.

  Vision:

• One eye exam per year for no cost
• Up to $500 for contact lenses or glasses glasses a year

  Hearing:

• One routine hearing exam per year
• $2,000 towards two covered hearing aids every three years

Wellness programs: Credits towards fitness services

Other:

• $55 a month towards covered over-the-counter items
• 28 meals following a hospital discharge
• Transportation: 40 one-way trips to approved locations, up to 60 miles
• Podiatry: Unlimited routine foot care visits for 20% coinsurance

  How to enroll

You can only enroll during a Medicare enrollment period; learn more at Medicare.gov.

Enrollment into this plan will automatically disenroll you from your current Medicare Advantage or Part D plan.

There are multiple ways to enroll:

• Call the plan at 800-460-4641 (TTY: 711) or visit the plan's website
• Medicare.gov
• 1-800-MEDICARE
• Contact the State Health Insurance Assistance Program (SHIP)