Enrollment / Disenrollment
HealthSun Health Plans will accept enrollment requests it receives during face-to-face interviews or through Medicare.
The person discussing the benefits with you during the face-to-face interview is employed by HealthSun Health Plans and may be compensated for your enrollment into the plan.
Once enrolled as a HealthSun Health Plans member you will also receive an identification card within seven days from receipt of enrollment. The identification card is to be used for all your medical services and prescription drug coverage.
Click on the link below to see if your provider participates in HealthSun Health Plans network.
2013 Combined Provider Directory
Please note that HealthSun Health Plans and/or the Centers for Medicare and Medicaid Services (CMS) may choose to terminate their contract which will result in termination of enrollment in the plan. In addition, the plan may reduce its service area and no longer offer services in the area the beneficiary resides.
Please remember that if you are already enrrolled in one of the HealthSun Health Plans
HMO benefit plans, you may not enroll in a stand-alone Part D plan (PDP) as your plan
includes a prescription drug plan.
You may also enroll in one of our Benefit Plans through the Centers for Medicare
and Medicaid Services (CMS) On-Line Enrollment Center, located at www.medicare.gov.
You may also contact our Member Services Department at (305) 447-4458 or
(877) 336-2069 or TTY (877) 206-0500 Monday through Friday from 8:30am - 5:30pm
Enrollment into a PDP plan will automatically disenroll you from your HealthSun Health Plans, Medicare Advantage HMO Plan.
Beneficiaries can not switch coverage during March 1st and October 14th of the year. In certain situations, at any
time during the year, beneficiaries may be able to join, switch, or drop a Medicare Advantage HMO plan or a Prescription
Drug plan using a Special Election Period (SEP). If you have any questions, please contact our Member Services Department
at (305) 447-4458 or (877) 336-2069. TTY users should call (877) 206-0500. You may call seven days a week, from 8:30 a.m. to 8:30p.m.
2013 Enrollment Application (Spanish)
2013 Enrollment Application
Selection Form-Switch from Plan to Plan within Parent Organization
Change of Address Form
Notice of Privacy Practices
Member's Right and Responsibilities Upon Disenrollment
HealthSun Health Plans upon receipt of a disenrollment request will send a disenrollment acknowledgement letter to the member within ten calendar days. Once CMS confirms the disenrollment, the pan will send a disenrollment confirmation
letter to the member. These notices include explanations of lock in restrictions and the effective date of the disenrollment. If you disenroll from Medicare prescription drug coverage and go without creditable prescription drug coverage,
you may need to pay a late enrollment penalty if you join a Medicare drug plan later. (“Creditable” coverage means the coverage is expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage.)
You have the right to make a complaint if we end your membership in our Plan.
If we end your membership in our Plan we will tell you our reasons in writing and explain how you may file a complaint against us if you want to.
How many plans does HealthSun Health Plans have ?
HealthSun Health Plans, a Medicare Advantage approved HMO offers plans the following plans:
- Sun Plus Advantage Plan Miami Dade County Plan 001
- SunPlus Advantage Plan Broward County Plan 002
- Healthy Advantage Plan Miami Dade County Plan 005
- MediMax Plan for Miami Dade County and Broward County Plan 006
- SunPlus Diabetes Special Need Plan 007 Miami Dade County
- SunPlus Diabetes Special Need Plan 008 Broward County
HealthSun Health Plans Medicare Advantage approved HMO benefit plans cover all
the benefits of Original Medicare and much more, including:
- Medically necessary doctor visits
- Hospitalization coverage
- Worldwide coverage for Emergency
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