Browse the Site Return to Contents Clinic Health Plans Career Opportunities HELP Nurse Family Care Regional Clinics Tri-State Occupational Health Tri-State Surgery Center

Products Health Choices Medicare Plans Health Care Services Health Care Services Policies Health & Wellness Disease Management Provider Directory Service Area Practice Guidelines

Medical Associates Health Plans, Inc. and Medical Associates Clinic Health Plan of Wisconsin are Medicare-Approved Cost Plans. Medical Associates Health Plans offers a complete line of affordable Medicare options: The Medical Associates SmartPlan (Cost): Traditional Plan with Health Plan participating provider network including Finley Hospital and Mercy Medical Center No Medicare deductibles or copays Virtually no paperwork Affordable premiums The Medical Associates Community Plan (Cost): Community Plan option includes the Health Plan network plus providers from the Tri-State Independent Physicians Association (IPA) including Finley Hospital and Mercy Medical Center No Medicare deductibles or copays Virtually no paperwork A great value compared to other popular Medicare plans The Medical Associates Freedom Plan (Cost): Freedom Plan option includes the Health Plan network, providers from the Tri-State IPA, plus any out-of-network provider who accepts Medicare Copayments applicable for out-of-network providers; no copay for local providers Great for snowbirds Eligibility If you are enrolled in the Federal Medicare Program hospital insurance “Part A” and the medical insurance “Part B” or the medical insurance “Part B” only If you reside within our Service Area: In Iowa: Allamakee, Dubuque, Clayton, Delaware, Jackson and Jones Counties. In Illinois: Jo Daviess County In Wisconsin: Grant, Crawford, Lafayette, and Iowa Counties Medicare beneficiaries diagnosed with End Stage Renal Disease may not be eligible to enroll Features You are not required to answer any health questions Your coverage is good for Medicare eligible services and supplies Your contract cannot be cancelled because of your age or the amount of benefits you use Your premium cannot be changed due to the amount of benefits you use No pre-existing condition limitation Enrollment Your application needs to be completed and received by our office by the last day of the month to be eligible for coverage to begin the first of the following month, (i.e. sign up by January 31st to be eligible for February 1st) Payment Options Automatic withdrawal directly from your checking account on a monthly basis; Coupon Payment book Network You must use the participating physicians, hospitals and providers of the Medical Associates Health Plans you are enrolled in unless medical care is required under emergency conditions. Only those services provided by or arranged through a Medical Associates Health Plans provider will be covered. A current list of participating providers is available upon request. Out of Area Coverage Urgent and Emergency services are covered for Medicare eligible services. If you experience an illness or injury of an urgent or emergency nature away from the area and treatment cannot be postponed until you get home, you are still covered. After you receive care, you should notify the Health Plans within 48 hours. Referral Care If medical services are not available within the network, your Medical Associates Health Plans physician will arrange for necessary referral care. When a Medical Associates Health Plans participating physician refers you outside of the network for a Medicare eligible service, the Medical Director reviews all referrals. You will receive an authorized referral letter if the referral is approved by the Medical Director. Contact Us To speak with a MAHP representative: (563) 556-8070 Locally (800) 747-8900 Toll free TTY/TDD users: (800) 735-2943 Hours of Operation: Monday through Friday, 8:00 a.m. to 5:00 p.m. You have the option to speak with a licensed sales representative when you call the number above. This page describes the essential features of the Medical Associates Health Plans Medicare Products in general terms, and is not intended to be a full description. The complete program is described in the Evidence of Coverage which is issued to all members and is available upon request.   MAHP 363 H1651 H5256 CMS Approved 02/03/2010