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GroupHealth Medicare Advantage Clear Care® Plans
Group Health Clear Care Benefits
Helpful Information
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.

2014 GroupHealth Medicare Advantage Plans

Clear Care Optimal HMO
Clear Care Vital HMO
Clear Care Essential HMO
Clear Care Basic HMO

Clear Care Key HMO
Clear Care Prestige PPO

GroupHealth Plan List
Plan Name Plan Type Plan Details Application Premium
Clear Care Key HMO MAPD Benefit Summary Apply online
Download app
$294
Available in: Grays Harbor* (98541, 98557, 98559, 98568), Island, King, Kitsap, Lewis, Mason* (98524, 98528, 98541, 98546, 98548, 98555, 98560, 98584, 98588, 98592), Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, and Whatcom Counties
Clear Care Optimal HMO MAPD Benefit Summary Apply online
Download app
$328
Available in: Grays Harbor* (98541, 98557, 98559, 98568), Island, King, Kitsap, Lewis, Mason* (98524, 98528, 98541, 98546, 98548, 98555, 98560, 98584, 98588, 98592), Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, and Whatcom Counties
Clear Care Vital HMO MAPD Benefit Summary Apply online
Download app
$78
Available in: Grays Harbor* (98541, 98557, 98559, 98568), Island, King, Kitsap, Lewis, Mason* (98524, 98528, 98541, 98546, 98548, 98555, 98560, 98584, 98588, 98592), Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, and Whatcom Counties
Clear Care Essential HMO MAPD Benefit Summary Apply online
Download app
$207
Available in: Grays Harbor* (98541, 98557, 98559, 98568), Island, King, Kitsap, Lewis, Mason* (98524, 98528, 98541, 98546, 98548, 98555, 98560, 98584, 98588, 98592), Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, and Whatcom Counties
Clear Care Basic HMO MA Benefit Summary Apply online
Download app
$99
Available in: Grays Harbor* (98541, 98557, 98559, 98568), Island, King, Kitsap, Lewis, Mason* (98524, 98528, 98541, 98546, 98548, 98555, 98560, 98584, 98588, 98592), Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, and Whatcom Counties
Clear Care Prestige PPO MAPD Benefit Summary Apply online
Download app
$135
Available in: Benton, Yakima, and parts of Clallam*(98382, 98362, 98368, 98363), and Jefferson* (98339, 98325, 98358) 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 Clear Care HMO plans in these counties:

Island, King, Kitsap, Lewis, Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, Whatcom, and parts of Mason and Grays Harbor

Clear Care Optimal HMO
Comprehensive plan with prescription drug coverage, 12 self-referred alternative medicine visits, 5 additional home care visits, 50 additional days of skilled nursing care.

Clear Care Vital HMO
Prescription drug coverage and a low monthly premium.

Clear Care Essential HMO
Prescription drug coverage and a low office visit copayment.

Clear Care Basic HMO
Broad benefits at a low monthly premium. Does not include prescription drug coverage.

Service area for our Clear Care HMO plans:
Island, King, Kitsap, Lewis, Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, Whatcom, and parts of Mason and Grays Harbor counties.
Service Area Map (PDF)

We offer Clear Care PPO plans in these counties:

Benton, Franklin, Yakima, and parts of Clallam and Jefferson

Clear Care Prestige PPO
Prescription drug coverage with lower monthly premiums.

Service area for our Clear Care PPO plans in these counties:
Benton, Franklin, Yakima, and parts of Clallam and Jefferson
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