Essence Healthcare is an HMO plan with a Medicare contract. Enrollment in Essence Healthcare depends on contract renewal. All Essence Healthcare plans include Part D drug coverage. Enrollment in an Essence Healthcare plan may be limited to specific times of the year. To enroll in an Essence Healthcare plan, you must have both Medicare Parts A and B and reside in the plan service area.
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information.
Members must use plan providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from Essence Healthcare, neither Medicare nor Essence Healthcare will be responsible for the costs.
Medicare evaluates plans based on a 5-star rating system. Star Ratings care calculated each year and may change from one year to the next.