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. To view our comprehensive Provider Directory, including Pharmacies, please see the McLaren Advantage (HMO) Provider / Pharmacy Directory.
The Summary of Benefits is a brief summary of benefits for this plan. To see how McLaren Advantage (HMO) benefits compare to Original Medicare, please see the Evidence of Coverage (EOC). This plan offers additional benefits not offered by Original Medicare, such as dental and vision coverage, and an Over-the-Counter (OTC) program, which gives members a $30 monthly allowance for many health and wellness items. To view the items available for OTC, please see the OTC Program Catalog. McLaren Advantage uses a 2014 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 2014 Prior Authorization Criteria, 2014 Step Therapy Criteria, and Transition Fill Policy.
How to Enroll
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, 2013), Medicare does not allow you to enroll in McLaren Advantage until the next Annual Enrollment Period occurs in 2014.
If you have recently become eligible for Medicare benefits, please call us at (877) 327-0671, or you may complete the 2014 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 located at http://www.medicare.gov. Click here for the 2014 Medicare Star Ratings
for McLaren Advantage (HMO).
If you have any questions, please call Customer Service at (888) 327-0671 (TTY users call 800-356-3232 or 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.
2014 Service Area
Our service area includes these counties in Michigan:
Alpena, Antrim, Bay, Charlevoix, Cheboygan, Clinton, Emmet, Genesee, Hillsdale, Huron, Ingham, Kalamazoo, Kalkaska, Lapeer, Lenawee, Macomb, Monroe, Montcalm, Montmorency, Oakland, Ogemaw, Otsego, Presque Isle, Saginaw, Sanilac, Shiawassee, St. Joseph, Tuscola, Van Buren, and Wayne.
Please click here to view the new version of our Notice of Privacy Practices.
CMS approved: 11/21/13
Last updated 7/11/2014
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.