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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 01/31/2020
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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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