How to Join Passport Advantage (HMO SNP) - 2011

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

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.

Eligible Passport Health Plan 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
5100 Commerce Crossings Drive
Louisville, KY 40229
Or, you can fax it to us at (502) 585-8338.

What happens next

Once you send us a completed enrollment form, we will send your enrollment form to the Centers for Medicare & Medicaid Services (CMS). Once Medicare approves your enrollment in Passport Advantage, you will get an ID card and a benefits welcome kit.

Please note that you will not be a member of Passport Advantage until Medicare approves your enrollment in Passport Advantage.

The CMS Best Available Evidence Policy 

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.