Riverside Simplete 2023

Medicare Advantage growth a strategic priority

One of Riverside Healthcare’s strategic priorities is to grow the number of members who choose Medicare Advantage products. We’ve partnered with Health Alliance to offer Simplete Medicare Advantage plans in an effort to grow our patients enrollment in a Medicare Advantage plan that has been design to best fit their health and wellness needs while maintaining the ability to remain a Riverside Healthcare patient.
 
As the Medicare Advantage Annual Enrollment Period (AEP) begins Oct. 15, you will see a significant marketing effort at Riverside Healthcare to grow membership in Medicare Advantage. 
  
Many of you are trusted informational resources to patients. If patients or family members ask you about Medicare Advantage, please direct them to Simplete Medicare Advantage. 

What you need to know:
 
The Medicare program offers two main options for eligible members – traditional Medicare coverage (with optional supplements) and Medicare Advantage (managed care products).  

  • For many years, Riverside has partnered with Simplete Medicare Advantage to create plans with unique benefits for patients and providers. For members, these plans have much lower premiums, lower out-of-pocket costs, additional benefits not covered by traditional Medicare, and low copays for Tier 1 generic prescriptions.  
  • In addition, Simplete Medicare Advantage offers robust customer service for members that includes health coaching, preventive care reminder calls, a 24-hour nurse line and online patient resources. 
  • One important advantage is decisions about care are kept where they belong  – between patients and doctors.  

For these reasons, Riverside and Simple Medicare Advantage are better able to serve Medicare patients enrolled in the Simplete plans while simultaneously supporting mission to provider remarkable healthcare experiences.

Please remind your patients to review their coverage by December 7. They can learn more by:

  • Calling (877) 642-4753 (TTY 711).
  • Attending a webinar to learn about our Simplete Medicare Advantage plans.
  • Visiting this page about Medicare and this link about our Simplete plans.
  • Visiting simplete.org/medicare to view plans, enroll and more.

 Thank you for supporting this strategic priority. 

Medicare Annual Enrollment Period
Understanding the Different Types of Medicare

With Annual Enrollment Period ongoing, our patients 65 and over, and those with certain disabilities, can shop and enroll in Medicare Advantage plans for 2023. We can help them understand their different Medicare options.

 Original Medicare is coverage managed by the government and made up of two parts. Part A covers inpatient hospital and skilled nursing facility stays, nursing home care, hospice and home healthcare. Part B covers certain care from doctors, outpatient care, medical supplies and preventive care.

Original Medicare doesn’t cover the full price of many services. Some people purchase Medicare Supplement (Medigap) plans to help pay the remainder of costs. Original Medicare also doesn’t cover every type of service. And it only covers some medications, so people often purchase Medicare Part D (prescription drug coverage) as another add-on.

Medicare Advantage plans (or “Medicare Part C”) take the place of Original Medicare, rather than adding to it. These plans are managed by private insurers and typically combine Parts A, B and D into one single plan. They often include extra perks such as fitness benefits and wellness programs. Riverside partners with Health Alliance™ to offer Simplete® Medicare Advantage plans designed specifically with our community in mind.

Please remind your patients to review their coverage by December 7. They can learn more by: