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GroupHealth Customer Support

Existing Customers

1-888-901-4600
TTY: 711.
Hours: 8 a.m.-8 p.m.
Extended hours Oct. 1-Feb. 14
7 days a week, 8 a.m.-8 p.m.

2015 GroupHealth Medicare Advantage Plans

View 2014 Plan Information

Basic (HMO MA)
Optimal (HMO MAPD)
Vital
(HMO MAPD)
Essential
(HMO MAPD)
Harbor (HMO MAPD)
Haven (HMO MAPD)
Columbia (HMO MAPD)
Prestige (PPO MAPD)

GroupHealth Plan List
Plan Name Plan Type Plan Details Application Premium
Basic HMO MA Benefit Summary Apply online
Download app
$50
Available in: Island, San Juan, Skagit, and Whatcom Counties
Basic HMO MA Benefit Summary Apply online
Download app
$50
Available in: King, Kitsap, Lewis, Pierce, Snohomish, Thurston, Grays Harbor* (98541, 98557, 98559, 98568), Mason* (98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592) Counties
Basic HMO MA Benefit Summary Apply online
Download app
$50
Available in: Spokane County
Vital HMO MAPD Benefit Summary Apply online
Download app
$27
Available in: King, Kitsap, Lewis, Pierce, Snohomish, Thurston, Grays Harbor* (98541, 98557, 98559, 98568), Mason* (98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592) Counties
Essential HMO MAPD Benefit Summary Apply online
Download app
$113
Available in: King, Kitsap, Lewis, Pierce, Snohomish, Thurston, Grays Harbor* (98541, 98557, 98559, 98568), Mason* (98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592) Counties
Optimal HMO MAPD Benefit Summary Apply online
Download app
$253
Available in: King, Kitsap, Lewis, Pierce, Snohomish, Thurston, Grays Harbor* (98541, 98557, 98559, 98568), Mason* (98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592) Counties
Harbor HMO MAPD Benefit Summary Apply online
Download app
$37
Available in: Island, San Juan, Skagit, and Whatcom Counties
Haven HMO MAPD Benefit Summary Apply online
Download app
$197
Available in: Island, San Juan, Skagit, and Whatcom Counties
Columbia HMO MAPD Benefit Summary Apply online
Download app
$163
Available in: Spokane County
Prestige PPO MAPD Benefit Summary Apply online
Download app
$175
Available in: Parts of Clallam* (ZIP codes 98362, 98363, 98382) and Jefferson* (ZIP codes 98325, 98339, 98358, 98368) Counties

Important details and dates

  • You must be enrolled in both Medicare Part A and Medicare Part B and live in the plan's service area to be eligible for these plans.
  • You are first eligible during the 7–month Initial Coverage Enrollment Period (ICEP), the 3 months before your 65th birthday, the month of, and 3 months after. CAUTION: You only have one choice so take your time, ask for help and choose wisely.
  • You are also eligible during the Annual Election Period (AEP) which is from Oct.15 to Dec.7. You can change as many times as you want. The last change received by CMS prevails.
  • You have an opportunity to disenroll from your plan and return to Original Medicare and purchase a Part D Prescription Drug Plan during the new Annual Disenrollment Period from Jan 1 to Feb 14.
  • You must continue to pay your Medicare Part B premium in addition to any plan premium shown above.
  • You may be eligible for a Special Enrollment Period (SEP) if you reside in a nursing home, join a Special Needs Plan (SNP), move outside the plan's service area, the plan leaves your area, or other special situations.
  • Award-winning* Group Health Physicians
  • Self-refer to Group Health specialists
  • 24-Hour Consulting Nurse service
  • Coordinated services all under one roof**
  • Medication refills by phone or online with free delivery
  • E-mail your doctor, schedule appointments, check labs and benefits online**
  • Optional dental
  • Fitness programs

We offer HMO plans in these counties:

King, Kitsap, Lewis, Pierce, Snohomish, Thurston, Grays Harbor* (98541, 98557, 98559, 98568), Mason* (98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592), Spokane, Island, San Juan, Skagit, and Whatcom Counties. Service Area Map (PDF)

We offer PPO plans in these counties:

Prestige PPO
Prescription drug coverage with lower monthly premiums.

Service area for our PPO plans in these counties:
Clallam* (ZIP codes 98362, 98363, 98382) and Jefferson* (ZIP codes 98325, 98339, 98358, 98368).
Service Area Map (PDF)

Coverage provided by Group Health Cooperative

* Source: www.ghc.org/topdocs
** When you receive care at Group Health Medical Centers.

Group Health is a Medicare Advantage organization with a Medicare contract. Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare Part B premium.

This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov