Welcome to McLaren Advantage (HMO)
McLaren Advantage (HMO) is a Medicare Advantage health care plan committed to helping you get the most out of your Medicare, so you can focus on other things in life. McLaren Advantage (HMO) is a plan for those who are eligible for Medicare Part A and Part B. This plan offers both medical coverage, as well as Part D prescription benefits. McLaren Advantage (HMO) is a coordinated care plan with a Medicare Advantage contract.
This plan is a Health Maintenance Organization (HMO). It has a network of over 20,000 doctors, hospitals and other providers you can choose from to get services. If you choose to see an out-of-network provider, in most cases, you will pay for the cost of the service.
Benefit Information - 2015
The 2015 Summary of Benefits is a brief summary of benefits for this plan. To see a full explanation of McLaren Advantage (HMO) benefits please see the 2015 Evidence of Coverage (EOC). This plan offers additional benefits not offered by Original Medicare. McLaren Advantage uses a 2015 Drug List (formulary) to show the drugs we prefer that your doctor prescribe. Some drugs are not covered by Medicare prescription drug coverage. Some drugs may also have amount limits or require step therapy. Click here for the 2015 Prior Authorization Criteria, 2015 Step Therapy Criteria, and Transition Fill Policy. Please see the 2015 Provider/Pharmacy Directory for a list of participating network providers and pharmacies.
How to Enroll - 2015
Enrollment with McLaren Advantage (HMO) is simple. If you were eligible for Medicare Part A and Part B prior to the Annual Enrollment Period (October 15 – December 7), Medicare does not allow you to enroll in McLaren Advantage until next year's Annual Enrollment Period occurs.
If you have recently become eligible for Medicare benefits, please call us at (877) 327-0671, or you may complete the 2015 Enrollment Form, and mail it to us at:
McLaren Advantage (HMO)
G-3245 Beecher Road
Flint, Michigan 48532
Medicare beneficiaries may also enroll in McLaren Advantage (HMO) through the CMS Medicare Online Enrollment Center. McLaren Advantage (HMO) 2015 Medicare Star Ratings
are available for your review.
If you have any questions, please call Customer Service at (888) 327-0671 (TTY users call 711). We are open Monday - Friday, 8:00 am to 8:00 pm. From October 15, 2013 through February 14, 2014, we are also available on weekends, 8:00 am to 8:00 pm.
Service Area - 2015
Our service area includes these counties in Michigan:
Alpena, Antrim, Bay, Charlevoix, Cheboygan, Clare, Clinton, Emmett, Gratiot, Genesee, Hillsdale, Huron, Ingham, Isabella, Kalamazoo, Kalkaska, Lapeer, Lenawee, Macomb, Monroe, Montcalm, Montmorency, Oakland, Ogemaw, Oscoda, Otsego, Presque Isle, Saginaw, Sanilac, Shiawassee, St. Joseph, Tuscola, Van Buren, Washtenaw and Wayne.
Please click here to view our Notice of Privacy Practices.
Pending CMS Approval
Last updated 4/10/2015
Please Note: There may be links on the McLaren Advantage website that takes you to non-McLaren Advantage information. By clicking these links you will be leaving the McLaren Advantage web pages.