Popular Articles

  1. How to get paid back for gym and fitness fees with Be Fit?

    Medicare Advantage members can get paid back for a variety of fitness activities with Be Fit. Use Be Fit to get paid back monthly, quarterly or yearly for a variety of fitness activities. With Be Fit, you'll: Get paid back up to $360 per year Ha...
  2. TruHearing Select

    As our Medicare Advantage member, we also help you save on hearing aids with our TruHearing Select benefit. Through TruHearing®, you can get one routine hearing exam for a $0 copay and lowered rates on up to two TruHearing hearing aids per year whe...
  3. How to enroll in a Medicare plan?

    The Annual Enrollment Period is from Oct 15 - Dec 7.  Outside those dates, you must qualify for a Special Enrollment Period to enroll in a plan. Our plans are only available in certain places. Make sure you live in our service area . Other Way...
  4. What is Original Medicare?

    Medicare is the government-run insurance program for those 65 and older, or certain people with disabilities or end-stage renal disease (permanent kidney failure). What's covered on Medicare is based on federal and state laws, national decisions ma...
  5. Low Income Subsidy (LIS) Info

    You might be able to get extra help paying for your prescription drug premiums and costs. LIS Rate Flyer - Simplete Local LIS Rate Flyer - Richland For more info and to see if you qualify, contact: Medicare.gov at 1-800-MEDICARE (800) 6...
  6. How to file a grievance or appeal a coverage decision?

    Medicare Part C (Medicare Advantage) and Medicare Part D (Prescription Coverage) To file or check the status of a grievance or an appeal‚ contact us at: Grievances: (800) 965-4022, 8 a.m. to 8 p.m., Monday through Friday, TTY/TDD 711 Appeals:...
  7. Specific Drug Requirements

    Certain covered drugs have special rules or limits, like step-therapy, preauthorization, and quantity limits, to keep you safe. Learn more about these and which drugs have them. How do I request a coverage determination or medical exception for a ...
  8. In what service areas are plans offered?

    Plan offerings depend on the service area and county where you live. Simplete plans are available in 5 Central Illinois counties and three Indiana counties where we've partnered with local, trusted healthcare providers in Illinois (Champaign, Ver...
  9. How can I change or cancel / disenroll from my plan?

    Changing Plan Types The Annual Enrollment Period (AEP) is the time each year, chosen by the Centers for Medicare and Medicaid Services (CMS), when you can enroll in a plan or switch to a new one. Unless you qualify for a Special Enrollment Per...
  10. How Can I Sign Up for Medicare Part A and Part B?

    Apply online through Social Security's website Call Social Security at (800) 772-1213 TTY (800) 325-0778. Fill out the Application for Enrollment in Part B . Remember, you must already have Part A to apply for Part B. ...