Clover Health's Member Focus

Simply put, you’ll get all the benefits of a great healthcare plan along with vision, dental, and hearing coverage. Many of our plans even have premiums as low as $0. All of our amazing benefits aside, one of the things that sets Clover Health apart is our member services teams. We provide all our Clover Health members with personalized service to help you meet your wellness goals.

Meeting Your Health Goals with our Care Team

Everyone has different healthcare needs. That’s why we believe your Medicare plan should be tailored to you. Maybe you’re managing chronic conditions or want to be healthier. Do you need to track your blood pressure or be more active? Our team of doctors and nurses will help you meet your health goals so you can live a healthier, happier life.

It all starts with creating a customized care plan based on your health needs. Our care team will support you in getting the healthcare you need. We’ll work closely with your primary doctor and your specialists to monitor your health. As we work together to create your personal plan we can:

• Go through your Medicare plan so you know exactly what’s covered.
• Make sure you understand your doctor’s recommendations.
• Assist you in getting the tests or treatments your doctor recommends.
• Help you prepare for X-rays, blood tests, or any other healthcare services.
• Follow up after your tests to walk you through the results.
• Review your next steps after a healthcare appointment, and go over any follow-up care.
• Suggest ongoing care. This could be creating an activity plan or enrolling in a diabetes self-management training class, for example.
• Help you apply for assistance programs that could cover plan premiums, medications, or even other household expenses.

We’re dedicated to providing ongoing support for your individual needs, will help you meet your health and wellness goals, and make sure you’re getting the care you need. Our member experience team will be with you every step of the way as you find the best way to manage your health.

What Services Does Clover Health Provide?

We offer convenient care when you need it. We’re committed to making it easy for you to find the right care. As a Clover Health member, you’ll have 24/7 access to Teladoc’s board-certified doctors. You could also be eligible for home visits from qualified nurses. These doctors and nurses, along with our member services team, will help you create a personalized plan to meet your health goals.

On-Call Doctors

Have you been feeling under the weather? Teladoc doctors can help you with any non-emergency health needs. They may be able to diagnose common health issues like a cold or flu, pink eye, a sinus problem, or a respiratory infection. These doctors may also recommend therapy, and even write some prescriptions. With your permission, they’ll share the results of the visit with your primary doctor.

If you want to talk to a health professional but don’t want to make an appointment and wait in an office, you can speak to a Teladoc board-certified doctor from the comfort of your home. Clover Health members have 24/7 access to this telehealth service. You can call for an at-home virtual medical consultation at any time. Best of all, you can use this service at no extra cost.

As a Clover Health member, you can talk to a doctor any time of day or night, 7 days a week. Get peace of mind and professional advice when you need it the most. You can reach one of Teladoc’s doctors by phone, video call, or by using a mobile app on your smartphone.

In-Home Care Visits

Another great service that's available to Clover Health members is in-home care visits. You can call our Clover Health member services team to schedule a visit. We work with in-home care nurses who will come to you. During in-home care visits, you can discuss your health needs and learn more about treatment options that are available to you. Our nurses can also perform checkups and perform routine tests. This may include taking your temperature or monitoring your blood pressure. Regular checkups are part of a great preventative care plan and can help you notice health changes sooner rather than later.

More Benefits for Clover Health Members

Our Clover Health Medicare Advantage plans offer great benefits and services with many premiums starting at $0/month. We also provide a yearly cap on out-of-pocket costs, so you’ll have peace of mind regarding your costs. Clover Health plans have some great benefits that can include:

• Dental, vision, and hearing coverage. This covers yearly checkups and routine services. Some plans also offer allowances for comprehensive dental.
• A mail-order pharmacy service at no extra cost that lets you order 100-day refills of all your medications and have them delivered right to your door.
• Coverage for over-the-counter items. We know it’s expensive to keep the medicine cabinet stocked. That’s why our plans include coverage for over-the-counter items like allergy medications, first aid supplies, and pain relievers.
• A SilverSneakers membership. You can use your SilverSneakers membership to access your local gym, join a fitness class, and get motivated to be healthier.

All these additional benefits make our Clover Health Medicare Advantage plans perfect for your unique health needs and lifestyle, and our member services team will help you make the most of your benefits.

Get in Touch with Clover Health

Ready to talk to us about your Medicare? You can call us at 1-800-836-6890 8 am–8 pm local time, 7 days a week* to find out more about our plans and benefits. You can also send us a message and we’ll call or email you.

If you have questions about Clover Health Medicare Advantage plans or want to learn more about our supplemental benefits, give us a call. We’ll help you find out if Clover Health is the right fit for you.

Are you already a Clover Health member? You can call us our member services team: 1-888-778-1478 (TTY 711) 8 am–8 pm local time, 7 days a week.* Ask us about Teladoc services, our in-home visits, or any other benefits. Let’s create your personalized health plan together to help you reach your health goals with our Clover Health member services team.

*From April 1st through September 30th, alternative technologies (for example, voicemail) will be used on the weekends and holidays. 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. Out-of-network/non- contracted providers are under no obligation to treat Clover Health members, except in emergency situations. 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.

 

Published on 12/4/20