Windsor Medicare Extra plans provide Medicare HMO coverage, plus many extra benefits, to Medicare beneficiaries within our approved service areas.
- Over-the-counter health and wellness products
- Fitness, and more
Learn more about Windsor Medicare Extra Products.
Medicare beneficiaries may enroll in Windsor Medicare Extra through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Members may enroll in the plan only during specific times of the year. Contact the plan for more information.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. Limitations, copayments, and restrictions may apply.
Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare Part B premium.
Members must use network pharmacies to access the prescription drug benefit, except in non-routine circumstances. Quantity limitations and restrictions may apply to some drugs.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486- 2048, 24 hours a day/ 7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or Your Medicaid Office.
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048. You must also use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis.
If you choose to utilize services from a provider outside of the network, except for emergency or urgent situations, you are more likely to pay more for your care. But again, it is your choice.
If you obtain routine care from out-of-network providers neither Medicare nor Windsor Medicare Extra will be responsible for the costs.
A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. We have network providers (that is, providers who have signed contracts with our plan) for all services covered under Original Medicare. These providers have already agreed to see members of our plan. If your provider is not one of our network providers, then the provider is not required to agree to accept the plan's terms and conditions, of payment, they may choose not to provide health care services to you, except in emergencies. If this happens, you will need to find another provider that will accept our terms and conditions of payment. Providers can find the plan's terms and conditions of payment on our website at: http://www.windsorhealthplan.com/providers/terms_and_conditions.
A Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor.