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Medicare Plan Resources

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The key difference between the two types of Medicare-compatible plans we offer is the way billing is handled between you, your plan and Medicare.

Medical plan information can be found below for each Medicare-compatible Stanford plan, as well as helpful information about steps you must take when it comes to electing, or changing, your Medicare plan.

2024 Plan Resources

MEDICARE ADVANTAGE PLANRESOURCES
Kaiser Permanente Senior AdvantageKaiser Plan Documents
Health Net Seniority PlusHealth Net Plan Documents
MEDICARE SUPPLEMENT PLANRESOURCES
Blue Shield Retiree PPOBlue Shield Plan Documents
Health Net COBHealth Net Plan Documents

Enrollment & Disenrollment Forms

If you enroll or disenroll from a Medicare Advantage plan, there is an extra form you must complete to alert the plan and Medicare that you are changing the way you’ve assigned your Medicare benefits. Depending on the elections you're making in My Benefits, a Medicare Advantage Enrollment or Disenrollment form will be mailed to you or you'll be prompted to complete it online. You can also download the forms here. You only have to complete it once. Note: Medicare does not allow a PO Box for your physical address on your Medicare Advantage form; Stanford and Medicare both must have your physical home address.

2024:

 

IF YOU ...THEN YOU MUST ...HOW TO SUBMIT 

Elect Kaiser Senior Advantage for the first time

OR

Switch from a Supplement plan to Kaiser Senior Advantage

Complete a Medicare Advantage Enrollment Form by the 15th of the month prior (i.e. If coverage starts Jan. 1, submit before Dec. 15). If you elect Kaiser, My Benefits will prompt you to complete this form online or using the information at right; you only have to submit it once.Online: kp.org/ MedicareGroupEnroll/CA 
Mail: Kaiser Permanente-Medicare Unit 
PO Box 232400 
San Diego, CA 92193-2400 
Fax: 855-355-5334
 

Elect Health Net Seniority Plus for the first time

OR

Switch from a Supplement plan to Health Net Seniority Plus
 

Complete a Medicare Advantage Enrollment Form by the 15th of the month prior (i.e. If coverage starts Jan. 1, submit before Dec. 15).Mail: Enrollment Services,
Health Net Medicare Programs
PO Box 10420
Van Nuys, CA 91499 
Fax: 844-222-3180 
 
Switch from a Supplement plan to an Advantage planComplete a Medicare Advantage Enrollment Form by the 15th of the month prior (i.e. If coverage starts Jan. 1, submit before Dec. 15).Submit directly to the plan in which you are enrolling (Kaiser or Health Net), as directed above. 
Switch from an Advantage plan to a Supplement planEach dependent covered by your plan must sign a Medicare Advantage Disenrollment Form by the 15th of the month prior (i.e. If coverage starts Jan. 1, submit before Dec. 15).

Submit directly to the plan in which you are enrolling (Kaiser or Health Net), as directed above.

 

 

Switch from one Advantage plan to the other Advantage plan

OR

Elect Blue Shield PPO for the first time

OR

Elect Health Net Medicare COB for the first time

No additional form is needed.

Streamline the Claims Process with Medicare Crossover Billing

When you are in a Medicare Supplement plan, getting reimbursement is a two-step process. First your doctor bills Medicare and they pay their benefit. Then you submit the remainder – along with proof of Medicare’s payment to your medical plan.
To avoid this process, when you receive your retiree medical card in the mail, call the member services group of your health plan and ask to set up Medicare Crossover Billing. This allows Medicare to send your Medicare Part B claims directly to your health plan after Medicare pays their portion. After that, if any money is owed, you will be billed by your doctor’s office. To set up Medicare Crossover Billing, call your medical plan and give them two pieces of information that you can find on your Medicare Card:

  • Your Medicare Beneficiary Identifier (MBI)
  • The effective date of your Medicare Part A and Part B