Provisions
- Member
Eligibility
 You
are eligible to participate in this program if you are
an Active or Retired member of the NEA, you are age
65 or older, and you are covered by Medicare Parts A
and B.
Spouse
Eligibility
- Your
spouse is also eligible to participate. She or he must
be age 65 or older, and must be covered by Medicare
Parts A and B.
Your spouse is
eligible to participate even if you do not as long
as you are participating in another program of the NEA Members Insurance
Trust (NEA Preferred Term Life, NEA Level Premium Term Life, NEA
Joint Protection Life, NEA Guaranteed Issue Life, or NEA AD&D Insurance).
- Acceptance
- No physical exam is required to get coverage under any
plan option. No health questions are asked and you cannot be turned
down for health reasons.
- What
If You Already Have A Medicare Supplement Policy?
- If you already
have Medicare Supplement coverage, you can switch to the NEA MemberCare
Program without ever losing a day of coverage. You'll even be
covered for pre-existing conditions if you are replacing an existing
plan.
-
- You may switch
to any other plan option later, provided you have had your current
NEA MemberCare Medicare Supplement Plan Option for at least 6
months.
For
Your Protection
- You
do NOT need more than one Medicare Supplement policy.
- Depending
on your age and income situation, you may be approved
for benefits under Medicaid and may not need a Medicare
Supplement policy.
- The
benefits and payment under your Medicare Supplement
policy will be suspended during your entitlement to
benefits under Medicaid for 24 months. You must request
this suspension within 90 days of becoming eligible
for Medicaid. If you are no longer entitled to Medicaid,
your policy will be reinstituted if requested within
90 days of losing Medicaid eligibility.
- Counseling
services may be available in your state to provide advice
concerning your purchase of Medicare Supplement insurance
and concerning Medicaid.
- How
To Select The Best Plan Option For You
- The
Plan Option that's best for you is the one that most
closely meets your specific needs. All of the
Plan Options offered are summarized here.
Each of the Plan
Options provides a different level of insurance protection. You
should compare them and fit them to your personal needs and budget.
We recommend you give special consideration to Plan Options C, F,
J and L. To help you make an informed decision, detailed
benefit charts are available for all 12 Plan Options on the Summary
Page.
One
of our recommended Plan Options is probably right for
you. If you would like to discuss information about any
of the Plan Options, please call the Program Administrator
at 1-800-541-4119, or NEA Member Benefits
at 1-800-637-4636.
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