Having the right Medicare coverage not only protects your health, but your pocketbook. When you are new to Medicare, figuring out the best option is for you can be overwhelming. If you’re approaching eligibility for Medicare and have questions, we’ve got answers.
New for 2020! Essence has added a unique new suite of benefits designed to significantly reduce out-of-pocket costs and help better manage Diabetic patients’ conditions including $0 copays on insulin, eye exams, diabetic supplies and more! |
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Talk to an AgentSpeak with one of our friendly and knowledgeable Medicare experts 1-866-509-5398 (TTY: 711) |
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Attend a MeetingLearn more about Essence Healthcare plans at one of our FREE online seminars. |
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Request an Info KitDownload your FREE Medicare Advantage info kit or request a copy in the mail. |
Essence Healthcare is an HMO plan with a Medicare contract. Enrollment in Essence Healthcare depends on contract renewal. All Essence plans include Part D drug coverage. To enroll, you must have both Medicare Parts A and B and reside in the Missouri counties of Boone, Jefferson, St. Charles, St. Louis or St. Louis City, or in the Illinois counties of Madison, Monroe or St. Clair.
You must continue to pay your Medicare Part B premium. Please note that enrollment is limited to specific times of the year. This information is not a complete description of benefits. Call 1-866-509-5398 (TTY: 711) for more information. Members must use plan providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from Essence, neither Medicare nor Essence will be responsible for the costs.
For accommodations of persons with special needs at meetings call 1-866-509-5398 (TTY: 711).
Medicare beneficiaries may also enroll in Essence Healthcare through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Essence Healthcare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-597-9560 (TTY: 711).
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Dzwoń pod numer 1-866-597-9560 (TTY: 711).
*Every year, Medicare evaluates plans based on a 5-star rating system.
1 U.S. News Best Medicare Plan in Missouri
2 U.S. News Best Medicare Plan in Illinois
Privacy Policy & Terms of Use | Medicare model complaint form | Help us fight fraud, waste & abuse | Notice of Non-Discriminatory Practices
Y0027_20-111_M – Last updated 09/30/2019
Copyright ©2020 Essence Healthcare, Inc.
Important COVID-19 Information for Essence Healthcare Members
Essence Healthcare is monitoring the coronavirus pandemic very closely. Aggressive federal, state and local efforts are underway to contain the spread of the virus. COVID-19 is very contagious and can cause infection in some older adults. It is therefore important to stay informed to reduce your risk of infection and the risk to others in the community.
As always, our highest priority is your health and well-being. We are working each day, reviewing the most recent information as it becomes available and partnering with your healthcare providers to respond to the coronavirus. This is a rapidly evolving situation that is changing daily. The Centers for Disease Control and Prevention (CDC) is continually updating its guidance for patients, and this information can be accessed online.
Click to view important and helpful resources from the CDC.
Waiver of Member-Related Costs Associated with COVID-19
Essence Healthcare is waiving all member related costs associated with the testing and treatment of confirmed or suspected COVID-19 cases from March 1st, 2020 forward. This includes any applicable co-pays, co-insurance, or deductibles that our members would have normally been responsible for. This waiver will be in effect until December 31, 2020, at which time we will reevaluate based on the status and containment of the COVID-19 virus.
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You are about to leave the Essence Healthcare plan site and visit our Provider Portal – a website created specifically for providers in the Essence network or those interested in joining our provider network.
To continue to our Provider Portal, click on the link below. Otherwise, close this window to remain on the Essence Healthcare plan site.
The Essence Advantage Producer Portal will be available effective October 15th, 2019 when the 2020 Annual Enrollment Period begins. We look forward to your return visit then!
The Essence Advantage Member Portal will be available effective October 15th, 2019 when the 2020 Annual Enrollment Period begins. In the meantime, learn all you need to know about Essence Advantage plans with your FREE Information Kit.
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You are about to leave the Essence Healthcare plan site and visit www.medicare.gov.
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You’re about to leave the Essence Healthcare plan site and visit the secure online enrollment form.
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You are about to leave the Essence Healthcare plan site and visit the CoxHealth MedicarePlus site – a website specifically for people living in Barry, Christian, Greene, Stone, Taney or Webster counties.
To continue to the CoxHealth MedicarePlus site, click on the link below. Otherwise, close this window to remain on the current site.
You are about to leave the Essence Healthcare plan site and visit the CoxHealth MedicarePlus site – a website specifically for people living in Barry, Christian, Greene, Stone, Taney or Webster counties.
To continue to the CoxHealth MedicarePlus site, click on the link below. Otherwise, close this window to remain on the current site.
You are about to leave the Essence Healthcare plan site and visit the CoxHealth MedicarePlus site – a website specifically for people living in Barry, Christian, Greene, Stone, Taney or Webster counties.
To continue to the CoxHealth MedicarePlus site, click on the link below. Otherwise, close this window to remain on the current site.
You are about to leave the Essence Healthcare plan site and visit the CoxHealth MedicarePlus site – a website specifically for people living in Barry, Christian, Greene, Stone, Taney or Webster counties.
To continue to the CoxHealth MedicarePlus site, click on the link below. Otherwise, close this window to remain on the current site.
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You are about to leave the Essence Healthcare plan site and visit www.medicare.gov.
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You are about to leave the current Essence Healthcare plan site and visit our prior year plan site– a website that houses information specifically for last year’s benefits.
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You are about to leave the Essence Healthcare plan site and visit the Everything Essence member website
To continue to this site, and view the online form, click on the link below. Otherwise, close this window to remain on the Essence Healthcare plan year site.
You are about to leave the Essence Healthcare plan site and visit the secure online Prescription Drug Coverage Determination form on the MedImpact website.
To continue to this site, and view the online form, click on the link below. Otherwise, close this window to remain on the Essence site.
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Visit www.ncqa.org.
You are about to leave the Essence Healthcare plan site and visit the NCQA website.
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Visit www.ncqa.org.
You are about to leave the Essence Healthcare plan site and visit the NCQA website.
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Visit www.ncqa.org.
You are about to leave the Essence Healthcare plan site and visit the NCQA website.
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Visit www.ncqa.org.
You are about to leave the Essence Healthcare plan site and visit the NCQA website.
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Visit www.ncqa.org.
You are about to leave the Essence Healthcare 2016 plan site and visit the Medicare website.
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Visit www.medicare.gov.
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Visit CMS.gov.
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Visit www.ssa.gov.
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Visit LinkedIn.
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Visit Twitter.
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Visit Facebook.
You are about to leave the Essence Healthcare plan site and visit www.medicare.gov.
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You are about to leave the Essence Healthcare plan site and visit our Provider Portal – a website created specifically for providers in the Essence network or those interested in joining our provider network.
To continue to our Provider Portal, click on the link below. Otherwise, close this window to remain on the Essence Healthcare plan site.
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You are about to leave the Essence Healthcare plan site and visit our Member Portal – a website specifically created for current Essence members.
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You are about to leave the Essence Healthcare plan site and visit the CoxHealth MedicarePlus site – a website specifically for people living in Barry, Christian, Greene, Stone, Taney or Webster counties.
To continue to the CoxHealth MedicarePlus site, click on the link below. Otherwise, close this window to remain on the current site.
You are about to leave the Essence Healthcare plan site and visit our Medicare Learning Center – a website full of valuable information on Medicare, Social Security, and other topics.
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You are about to leave the Essence Healthcare plan site and visit our Medicare Learning Center.
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