Enroll in Gateway Health Plan Medicare AssuredSM 2009
Gateway Health Plan Medicare AssuredSM is a Medicare approved Special Needs Plan for people with both Medicare and Medicaid (Dual-eligible). To become a member, you must be entitled to Medicare Part A and enrolled in Medicare Part B, receive Medicaid (full or QMB) and live in our service area. Dual-eligible beneficiaries have an on-going Special Election Period, which permits them to enroll and disenroll from Medicare Advantage plans on a month-by-month basis.
Protected Health Information, called PHI, is information that can be used to identify an individual such as name, social security number and birth date. PHI is confidential and protected by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other privacy laws. In accordance with those laws, Gateway Health Plan Medicare AssuredSM may use or disclose a beneficiary’s PHI for payment, treatment and health care operations as described in its Notice of Privacy Practices. That notice is available online via the link at the bottom of this page, or by calling Member Services at 1-800-685-5209 in PA or 1-888-447-4505 in OH, 8:00 am – 8:00 pm, 7 days a week. TTY users may call 1-800-654-5988.
Ways to Enroll
- By Phone
- Call Gateway Health Plan Medicare AssuredSM at 1-877-GATEWAY (1-877-428-3929), 8 a.m. – 8 p.m., 7 days a week. (TTY – 1-800-654-5988)
- Call 1-800-MEDICARE (1-800-633-4227, 24 hours a day, 7 days a week. (TTY – 1-877-486-2048)
- By Mail
- Call Gateway Health Plan Medicare AssuredSM at 1-877-GATEWAY (1-877-428-3929), 8 a.m. – 8 p.m., 7 days a week, (TTY – 1-800-654-5988) to have an application mailed to you.
- Download an enrollment form and mail it to us.
- In Person
- Call Gateway Health Plan Medicare AssuredSM at 1-877-GATEWAY (1-877-428-3929), 8 a.m. – 8 p.m., 7 days a week, (TTY – 1-800-654-5988) to request a visit from a Plan representative.
Forms require the Adobe Acrobat Reader installed on your system. Most computers have this program installed. If it is not installed on your computer, you can download it for free from Adobe.
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