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.
