Clover Health

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Clover Medicare Basics guide

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Last Updated: 9/23/2019

Clover Health is a Preferred Provider Organization (PPO) and a Health Maintenance Organization (HMO) with a Medicare contract. Enrollment in Clover Health depends on contract renewal. You must continue to pay your Medicare Part B premium. For plans that provide drug coverage, the formulary may change during the year. Out-of-network/non-contracted providers are under no obligation to treat Clover members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Medicare beneficiaries may also enroll in Clover Health through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-778-1478 (TTY 711).
ATENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. Llame al 1-888-778-1478 (TTY 711).
小贴士：如果您说普通话，欢迎使用免费语言协助服务。请拨 1-888-778-1478 (TTY 711).

Disclaimers

This information is not a complete description of benefits. Call 1-888-778-1478 (TTY 711) for more information. Limitations, copayments, and restrictions may apply. Plan performance Medicare Star Ratings are assessed each year and may change from one year to the next. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. For sales/marketing complaints, contact Clover Health at 1-888-778-1478 (TTY 711) or 1-800-MEDICARE (if possible, please be able to provide the agent or broker's name).

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