Medicare

Medicare Plans Accepted

If you are switching Medicare plans or enrolling in Medicare for the first time, please choose carefully. The only way to keep (or select) a New Pueblo Medicine physician is to enroll in one of these plans:

  • Medicare Advantage plans: While numerous Medicare Advantage plans are available in Pima County, we only participate with these Medicare Advantage plans from United Healthcare (https://www.uhcmedicaresolutions.com/):
    • AARP Medicare Complete Plus (HMO-POS) by UnitedHealthcare
    • AARP Medicare Complete Plan 1 (HMO) by UnitedHealthcare
  • Traditional Medicare: New Pueblo Medicine also welcomes patients with traditional Medicare and all Part B supplemental insurance plans. See www.medicare.gov.

For more information, please call us at (520) 290-0300.

Turning 65 This Year? How & When to Apply for Medicare

If you are turning 65 this year, you are eligible for Medicare benefits and have a seven-month window to sign up - beginning three months before your 65th birthday. If you delay beyond this time period, you may incur penalties. Some individuals under 65 may also qualify for Medicare benefits if they have a disability or end-stage renal disease.

There are many Medicare options. Basic Medicare coverage includes Part A (hospital insurance) which you get without paying a premium. Medicare Part B (doctor’s fees/outpatient services) has a monthly premium of $134.00 or $109.00 for Medicare enrollees in 2017. This premium is deducted from your Social Security check or is billed to you every three months. There’s also Medicare Part D (prescription drugs) which is available through private insurers at a wide range of costs and with varying lists of drugs that are covered.

For more information about enrolling in Medicare directly, call 1-800-772-1213 or visit www.socialsecurity.gov/medicare. You may also enroll through a private insurer that offers a Medicare Advantage plan that combines all three areas (Parts A,B & D) and typically functions as an HMO or PPO. To compare plans and costs go to www.medicare.gov. Please remember, if you are already our patient and want to keep your New Pueblo Medicine doctor, you must enroll in one of the Medicare plans we accept (see above). New Pueblo Medicine offers patients a free, comprehensive guide to understanding your Medicare benefits. Please call us at (520) 290-0300 to request your copy.

Medicare Adds New Preventive Health Coverage

Effective January 1, 2011, millions of Medicare beneficiaries can now receive important preventive health services without incurring any cost-sharing obligations.

This healthcare reform legislation provides coverage for annual wellness visits and personalized preventive plans developed by you and your physician. The annual wellness visit is free and includes:

  • A health risk assessment using Health and Human Services guidelines
  • Individual and family medical history
  • Lists of current providers providing care and prescription medications
  • Blood pressure, height, weight, and body mass index measurements
  • A 5 to 10 year screening schedule for appropriate services
  • List of risk factors and conditions with recommended intervention
  • Personalized health advice and referrals

Note: New Medicare enrollees may not receive both the Welcome to Medicare examination and the Wellness Visit during their first 12 months of enrollment. The Welcome to Medicare examination is only a once in a lifetime service within the first 12 months of eligibility with Part B.

For more information about Medicare’s new preventive health coverage, click here or call (520) 290-0300.