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    Call us at: 1-855-249-7811

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    Member Services:
    1-855-249-7811 (TTY: 711)

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Effective January 31, 2020 at 11:59p.m. EST, the Centers for Medicare & Medicaid Services (CMS) imposed intermediate sanctions on Delaware Life Insurance Company. This means that Eon Health cannot accept new enrollments into our plan and/or market to enrollees at this time. Due to an increase in enrollment, we experienced significant enrollment issues.

While you may not have experienced this directly, the deficiencies cited by CMS include:

  • Failing to timely and accurately process enrollment requests
  • Failing to provide timely notices of acceptance or denials of enrollment requests
  • Failing to provide proof of coverage and other plan materials prior to member effective dates
  • Failing to correctly process requests for medical or drug coverage
  • Failing to provide information on a timely basis to current and prospective enrollees through the customer service call center.
  • Failure to provide proper oversight of the plan vendors

Eon Health is working diligently to resolve these issues as quickly as possible.

This does not impact your coverage with Eon Health. The benefits you have as a member of Eon Health continue while our plan is sanctioned. You still have access to our providers and pharmacy network and coverage for medical services and drugs on our formulary.

Can I make changes to my medical or prescription drug coverage?

If you believe you have been negatively impacted by the deficiencies stated above, you may qualify for a special election period that will allow you to enroll in a new plan now. To find out if you qualify for a special election period, please contact 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048.

If you are eligible for a special election period, here are your options:

Option 1: Keep your current plan. If you are satisfied with your current coverage, you do not need to do anything to stay in our plan.

Option 2: You can switch to a different Medicare Prescription Drug Plan, Medicare Advantage Plan or other Medicare health plan, including a plan that offers prescription drug coverage. Your new coverage can start as early as the month after the new plan gets your application. Most Medicare health plans include prescription drug coverage, but not all. If you want Medicare prescription drug coverage, be sure to join a Medicare health plan that has this coverage or join a Medicare health plan that allows you to join a separate Medicare prescription drug plan.

What if I have more questions?

If you have any questions, please contact Eon Health at (855) 249-7811 Monday to Sunday 8am — 8pm from October 1 thru March 31 and Monday to Friday 8am — 8pm from April 1 thru September 30. TTY users should call 711.

Thank you for your continued membership with Eon Health.

Supplemental Benefits

At Eon Health we provide you with additional benefits not covered under Original Medicare. Some of these Supplemental Benefits include enhanced dental, hearing and vision coverage.

Dental Services

Take care of your teeth and gums for overall health. All of Eon Health’s Medicare plans provide preventive and comprehensive dental coverage.

Preventive dental services:

  • Oral exam, cleaning, fluoride treatment
  • Dental x-rays, bitewing x-rays
  • Panoramic

Comprehensive dental services:

Periodontics Extractions Dentures or fixed prosthetics
  • Restorative Services
  • Root canals
  • Endodontics
  • Periodontics
  • Extractions
  • Dentures or fixed prosthetics

Please refer to the full list of benefits found in the Evidence of Coverage.

Vision Services

Good eyesight plays an important role in overall health and happiness. Eon Health provides additional vision benefits.

Covered services:

  • A routine eye exam (one (1) per year)
  • Contribution for eyeglasses (frames and lenses) or contact lenses.

Please refer to the full list of benefits found in the Evidence of Coverage.

Over-The-Counter (OTC) Benefits

Over-the-counter (OTC) medicines are drugs you can buy without a prescription. Some OTC medicines relieve aches, pains and itches. Some prevent or cure diseases, like tooth decay and athlete’s foot. Others help manage recurring problems, like migraines. Eon Health understands your need to sometimes use these OTC items, so we provide you with additional OTC benefits.

Covered services:

  • Eon Deluxe (HMO SNP): $40
  • Eon Silver (CSNP / HMO): $90 every 3 months
  • Eon Choice PPO: $15
  • Eon Gold (CSNP / PPO): $15
  • Eon Select HMO: $90 every 3 months

For an explanation of out-of-network OTC coverage, please refer to your Over the Counter Booklet.

For easy ordering, refer to the Mail Order Form.

For more information click here

Transportation

Covered Services include:

  • Eon Deluxe: $0 copay for up to 30 one-way trips to plan-approved locations.

Telehealth

Profile

  • On-demand, text-based diagnosis and treatment
  • No appointments, no travel, no waiting rooms
  • Expert care from board-certified doctors
  • Available anytime, day or night

Privacy

Health records are kept totally private and protected. You determine who can see the information in your record.

DO I TALK TO “REAL DOCTORS”?

  • Yes, Eon members only talk to actual doctors who are board certified and licensed in the U.S.
  • 98point6 doctors have training and are credentialed.

WHAT ARE SOME OF THE MEDICAL CONDITIONS 98POINT6 WILL TREAT?

  • Common medical conditions such as respiratory infections, cold and flu symptoms, allergies and many other non-emergency conditions.

CAN I REQUEST A PARTICULAR DOCTOR?

  • This service is designed to support your relationship with your existing primary care physician (PCP); It is not intended to replace your doctor.

CAN I GET A PRESCRIPTION?

  • 98point6 does not guarantee prescriptions. The 98point6 doctor will determine if a prescription is needed based on best treatment. 98point6 doctors will not prescribe controlled substances or any drugs which may be harmful because of their potential for abuse.

CAN I SPEAK TO A 98POINT6 DOCTOR OUTSIDE OF THE U.S.?

  • 98point6 doctors are NOT available outside of the United States.

For More Information click here

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Eon Health has a contract with Medicare to offer HMO and PPO Plans. Eon Health also has a contract with the Georgia Medicaid program and a contract with the South Carolina Medicaid program. Enrollment in Eon Health depends on contract renewal. Eon Deluxe (HMO SNP): This plan is available to anyone who has both Medicare and received assistance from the State. Eon Silver (HMO SNP) and Eon Gold (PPO SNP): These plans are available to anyone with Medicare who has been diagnosed with Cardiovascular Disorder, Chronic Heart Failure or Diabetes. Eon Health has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until December 31, 2022 based on a review of Eon Health’s Model of Care. This information is not a complete description of benefits. Contact the plan for more information. Limitations, Copayments, and restrictions may apply. Benefits, formulary, pharmacy/provider network, premium and cost sharing may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Premiums, co-pays/co-insurance may vary based on the level of Extra Help you receive. Please contact the plan for further details. Medicare beneficiaries may also enroll in Eon Health through the CMS Medicare Online Enrollment Center located at www.medicare.gov. The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary Eon Gold (PPO SNP) and Eon Choice (PPO),: Out of network/non-contracted providers are under no obligation to treat Eon Health members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask for a pre-service organization determination before you receive the service. Please call our customer service or see your Evidence of Coverage for more information, including cost-sharing that applies to out-of-network services.