To participate in Senior Care Advantage ONE, you must be enrolled in a participating Medicare Advantage plan and designate one of our Buffalo Medical Group Primary Care Physicians to oversee your health care. If you are enrolled in a PPO, this designation does not limit your network access or create the need for a referral – it simply ensures that you have designated a physician to watch over your care and help facilitate a care plan for you.
on your status, there are different Medicare enrollment periods:
If you are a patient that
soon will be turning 65, you are eligible to participate in an Initial Enrollment Period
determined by your birth month. This period starts three (3) months prior to
your 65th birthday, includes your birth month and extends three (3) months
after your birth month. It is important
to enroll during the Initial Enrollment Period to avoid any gap in coverage,
potential late enrollment penalties or having to delay enrollment until the next general
If you are working past 65,
are covered by group health insurance and plan to retire from work soon, your separation date from
work triggers a Special Enrollment Period, during which you can enroll. You will want to work with your insurance
broker to ensure there are no gaps in coverage.
If you are currently on
there is an Annual Enrollment Period (AEP) each year from October 15 through
December 7 during which you can compare your options and make or change your
year, the health plans review the features of their plans and their
formularies. Many of the changes can be
substantial from year to year and many new features may be added like dental,
vision, hearing aid, over-the-counter medication subsidies, transportation and
much more. It is prudent to meet annually
with a licensed insurance agent to help review your needs and help you in
selecting the plan that is best for you.
If you qualify for Extra
Help due to prescription drug expenses, you may join or switch Medicare Advantage plans one
per calendar quarter during the first nine months of the year. This special election period can be used once during one of these
three periods: January through March,
April through June, and July through September.
you join one of our
partner Medicare Advantage plans and you designate one of our
member primary care physicians from Buffalo Medical Group on your
application to oversee your care, you are automatically enrolled in Senior Care
Advantage ONE at no additional cost. To
see a list of physicians that are part of the program, click here.
reach a certified and licensed insurance broker that understands our program
and is appointed by the companies that we are contracted with, you may utilize
one of the following options:
- Complete the form and a local broker will contact you to help
you with your personal situation.
- Attend a Medicare 101. These
are taught by our preferred certified brokers in an educational environment and
you can see and enroll in our upcoming sessions here.