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How to Join Passport Advantage (HMO) - 2010

You must be an active Passport Health Plan member with Medicare Parts A and B to join Passport Advantage HMO.

You also must live in one of the Kentucky counties in our service area: Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, or Washington.

Passport Advantage members may enroll at any time.

It is easy to join!

Step 1: Call us! We can tell you more about Passport Advantage and whether or not you can join.

Step 2: Get an enrollment form. If you do not have an enrollment form, we can mail one to you, your caregiver, or a loved one. Or you can print the enrollment package.

Step 3: Fill out the enrollment form. If you have any questions or need help filling out the form, call us!

Step 4: Send the completed form back to us. If we sent you an enrollment form, please send it back in the gold envelope. Or, mail it to:

Passport Advantage
ATTN: PAD Enrollment
305 West Broadway
Louisville, KY 40202

Or, you can fax it to us at (502) 585-8338.

Please note that you will not be a member of Passport Advantage until Medicare approves your enrollment in Passport Advantage. This process can take a number of weeks.

The CMS Best Available Evidence Policy

How to Get Medicare Part A or B

If you did not apply for Medicare Part A or B during your initial enrollment period, you will have to apply in January, February, or March through your Social Security office.

Just follow these steps:

Call your Social Security office at 1-800-772-1213 to schedule an appointment during January, February, or March.
Go to this appointment to fill out an application.
Once your application is complete, Social Security will forward it to Kentucky Medicaid for review. It may take a few months for you to hear about your application. Kentucky Medicaid may pay for your Medicare Part A or Part B premium if you meet certain requirements.

This plan is available to all active Passport Health Plan members with Medicare Parts A and B. Eligible beneficiaries may enroll in Passport Advantage at any time. Please call our Member Services for more information.

Extra Help

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting "Extra Help", call:

1-800-MEDICARE (1-800-633-4227). TTY or TDD 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 or TDD users should call 1-800-328-0778; or
Your State Medicaid Office at 1-800-635-2570.

This plan is available to all Passport Health Plan members with Medicare Parts A and B. You must remain an active member of Passport Health Plan in order to remain in Passport Advantage.

Passport Advantage is a health plan with a Medicare contract. This Plan is available to all active Passport Health Plan members with Medicare Parts A and B. For full information on Passport Advantage benefits call Member Services. The content on this website is available in alternate formats, such as Braille, large type, or another language. Please call us at 1-800-578-0603, then press 1 (TTY: 1-800-648-6056), 7 days a week from 8 a.m. to 8 p.m. to request another format.
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