Member Resources
Phelps Health Medicare Advantage
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Authorized Representative
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Advanced Directive
Use an Advanced Directive to communicate your decisions.
Advance care planning is a process that helps you with healthcare decision-making in the future.
Advance care planning, including advance directives, can help you identify what healthcare measures you want in case you are not able to make decisions. Planning also can help you appoint who you want to be involved in your care.
What do advance directives do?
- Communicate your healthcare preferences when you lose the ability to make your wishes known
- Ease your family’s responsibility and stress to make difficult decisions
- Assist your doctor by providing guidelines for your care
- Specify decisions from withholding or withdrawing life-sustaining treatment, including food or water
What are the different types of advance directives?
Below are three types of advance directives for anyone 18 or older who is legally competent to make his or her own decisions:
Statutory Living Will
This document directs “death-prolonging” procedures to not be used to keep a person alive when a terminal condition exists.
Health Care Directives
This document directs what conditions (medical or otherwise) for when a type of treatment is administered or withheld, including food or water. Instructions must be clear, and this document allows more flexibility in wishes.
Durable Power of Attorney for Health Care Decisions
This document appoints an agent to make decisions and describes authority that the agent has.
Other: TPOPP/OHDNR
- Transportable Physician Orders for Patient Preferences
- Out of Hospital Do Not Resuscitate
Ask your doctor about these forms, as they are for specific situations.
How can I create an advance directive?
If you would like more information or help in creating an advance directive or have any questions, please contact the care coordination team at Phelps Health.
Be sure to discuss your wishes with your family and physician. Putting your wishes in writing is the only legal way to ensure they are respected.
If you have an advance directive or any advance care planning document, keep a copy with you, and present the document to your doctor and at any hospital visit.
The Patient Self-Determination Act
The federal Patient Self-Determination Act (enacted in 1990) addresses the rights of healthcare (including mental health) users to stipulate in advance how they would like to be treated by healthcare providers when they are incapacitated. The Patient Self-Determination Act does the following:
- Recognizes the living will, healthcare directive and durable power of attorney for healthcare decisions
- Requires healthcare facilities to ask patients whether they have advance directives
- Requires healthcare facilities to provide educational materials advising patients of their rights
For more information on the Patient Self-Determination Act, visit nrc-pad.org.
Disaster & Emergency Policy
If the Governor of Missouri, the U.S. Secretary of Health and Human Services, or the President of the United States declares a state of disaster or emergency in our service area, you can still get medical care and prescription medications from Phelps Health Medicare Advantage.
Generally, during a disaster or emergency, Phelps Health Medicare Advantage will allow you to obtain medical care from out-of-network providers at in-network cost-sharing rates without prior authorization requirements. In cases where payment is required up front for the out-of-network care you may submit a request for reimbursement to the plan.
Phelps Health Medicare Advantage has a national network of pharmacies available to fill prescriptions for medications. If you cannot use a network pharmacy during a disaster, you may be able to fill your prescription drugs at an out-of-network pharmacy. In cases where payment for the cost of the drugs is required at the time the prescription is filled you may submit a request for reimbursement to the plan.
Plan Disenrollment
As enrollment in an MA plan is limited to certain periods, disenrollment is also limited to certain periods: Annual Election Period, Medicare Advantage Open Enrollment Period – January 1- March 31 each year, and Special Election Periods depending on the situation.
During the Annual Election Period (AEP), the Medicare Advantage Open Enrollment Period (MA-OEP)or in a Special Election Period (SEP), if you want to leave your MA plan and don’t want to join another MA plan, you must send a written request to the plan or call 1-800-MEDICARE during the enrollment period.
If you want to switch from one MA plan to another, simply submit an enrollment application to the new plan and once you are accepted, you will be automatically disenrolled from your current plan. Again, in general, you can only make changes such as this during the AEP, MA-OEP or an SEP.
This method of disenrollment also applies to Part D prescription drug coverage. For example, if you are in an MA plan with Part D coverage (MA-PD) and wish to switch to a stand-alone prescription drug plan (PDP), enrolling in a PDP automatically disenrolls you from your previous MA-PD plan, and vice versa.
Member Rights
As a valued member you are entitled to certain rights and services. As a member, there are also responsibilities in your health care. By familiarizing yourself with and following these steps when receiving medical services you can get the most from your coverage.
Optional Self-Referral for Case Management
If you would like a member of our Case Management team to contact you, please complete the information below. Our Case Management nurses can assist you in obtaining optimal medical and pharmacological services for complex medical conditions (such as diabetes, asthma, heart disease).
Case Management services are provided at no cost!
Right Care Right Now
Find the right care for your medical needs. Selecting the best care type can help manage your care and reduce your out-of-pocket costs.
Digital Health Learning
Getting Started with Telehealth
Learn about the benefits of telehealth, how to communicate with a provider using secure messaging, the technology needed to attend a telehealth appointment, and tips for attending a telehealth appointment.