Is This Plan Available for Me?
WindsorSterling Health Plans Key Features
WindsorSterling offers a variety of Medicare Advantage plans with affordable premiums and extra benefits.
- Credentialed doctors and hospitals in our network-based plans
- Low out-of-pocket maximums to limit your cost share
- 100% coverage for annual physical exams
Preventive Benefits
The best time to look out for your long-term health is today, and these preventive care benefits can help keep you in good health now and for years to come.
- Preventive benefits for routine dental, vision, and hearing exams
- Annual physical exam
- Immunizations
- Colorectal and prostate screenings
- Bone density testing
- Mammograms
Care Coordination Services
Many of our plans also offer personal care coordination services to help members already dealing with serious and chronic health conditions.
- Care Management
- Medication Therapy Management
- Disease Management
Value-Based Extra Benefits
We also offer special value-added unique services to help you maintain an active, healthy lifestyle.
- Over-the-counter health and wellness products
- Silver&Fit® program including a gym membership at no extra charge
- Vision
- Dental
Medicare Advantage plans available from WindsorSterling
Medicare Advantage Preferred Provider Organization (PPO) plans - Available in selected areas only.
- WindsorSterling Gold Plus® (PPO) - features contracted providers, includes In and Out-of-Network benefits and prescription drug coverage.
Medicare Advantage In-Network Private Fee-for-Service Plans – features a network of contracted providers
- WindsorSterling Silver Connect In-Network (PFFS) – Low monthly premiums, low copayments, many extra benefits.
- WindsorSterling Emerald Connect In-Network (PFFS) – Low monthly premiums, low copayments, key extra benefits – includes prescription drugs.
- WindsorSterling Gold Connect In-Network (PFFS) – Affordable monthly premiums, low copayments, prescription drug coverage, many extra benefits.
For premiums or more information, find a plan in your area. Not all plans available in all areas.
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. Limitations, copayments, and restrictions may apply. For more information, contact the plan.
Disclaimers
WindsorSterling Medicare Advantage products are underwritten by Sterling Life Insurance Company.
A Medicare Advantage Organization with a Medicare contract and a Medicare-approved Part D sponsor. Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare Part B premium.
Members may enroll in the plan only during specific times of the year. Contact WindsorSterling for more information.
Medicare beneficiaries may enroll in Windsor Medicare Extra plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov .
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: www.WindsorSterlingPlans.com .
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.
Members must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1, 2013. 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.