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Provider services: 1-877-853-8019
Fax: 1-855-297-4247

2016 Winner of Senior Gold Choice Award

Clover was awarded the Senior Gold Choice Award for “Excellence in Medicare Benefits Value” by HealthMetrix (October 15, 2015), shown to have the #1 lowest estimated out-of-pocket costs among all Medicare Advantage plans offered for members.

This information isn't endorsed by Medicare. Clover has no affiliation with Medicare News Watch or HealthMetrix.

Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

Please visit www.medicare.gov for more information on Star Ratings

Clover Health Overall Star Rating

2017

Clover Health Plan Services

2017

Clover Drug Plan Services

2017

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Member Services

1-888-778-1478 (TTY 711)
8 am–8 pm EST, 7 days/week*

Clover Health
NJ P.O. Box 471
Jersey City, NJ 07303

*We are open from 8 am–8 pm EST, 7 days a week. From February 15th through September 30th, alternate technologies (for example, voicemail) will be used on the weekends and holidays.

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.

Last Updated: 5/25/2017

Clover Health is a Preferred Provider Organization (PPO) 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.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-657-1207 (TTY 711).

ATENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. Llame al 1-888-657-1207 (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 1-888-657-1207 (TTY 711)

Disclaimer:

This information is not a complete description of benefits. Contact the plan 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.
H5141_Clover_Website_2017 (CMS Approved).

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Original Medicare

Traditional Medicare covers hospitals (Part A) and doctors (Part B), and you pay standard rates for services. You can go to any doctor, hospital or other provider that accepts Medicare patients anywhere in the country.

You can add drug coverage (Part D) by enrolling in a private "stand-alone" drug plan for an additional premium. You can buy separate Medigap insurance to cover some or most of the out-of-pocket costs of hospitals (Part A) and doctors (Part B).

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Attention:

To enroll in a plan with a 2017 effective date, you must have a qualifying life event.

If you feel you may still qualify for a Special Enrollment, give Clover a call at 1-888-781-3235 (TTY-711), 8am - 8pm, 7 days/week, and we'll help you through the process.

Let's get started!

To enroll in a plan for a mid-year effective date, you must have a qualifying life event to qualify. Unless one of the statements below matches your current situation, you CANNOT enroll at this time. We will contact you to confirm whether you meet one of the items listed below. If you do not meet any of them, we will be unable to process your enrollment. You can enroll for a January 1 effective date (without a qualifying event) between October 15 - December 7 each year.

Plan Enrollment Checklist (please check all that apply): I'm new to Medicare. I'm currently receiving assistance from the government to pay for Medicare prescription drugs. I'm on both Medicare and Medicaid. I've recently moved to a new county. I've recently had some kind of change in my employment status. I've recently retired. I've recently had some other qualifying life event. None of the above apply to me.

Continue Enrolling

Please call our Member Services at 1-888-781-3235 (TTY 711). From October 1 through February 14, our hours are from 8am – 8pm EST, 7 days a week. From February 15 through September 30, our hours are from 8am – 8pm EST, Monday – Friday. After hours and holidays, your call will be handled by our voicemail system.