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For Providers

GHI offers a number of Medicare Advantage Plans. These plans, sometimes called "Part C," provide all of a member's Part A (hospital coverage) and Part B (optional medical coverage) coverage and offer extra benefits too. These extra benefits include, but are not limited to, vision, dental, hearing, and preventive services, like annual physicals. In addition, some of the GHI Medicare PPO plans include Part D, prescription drug coverage.

GHI PPO Medicare Advantage includes the following Medicare Advantage plans:

GHI PPO Plans - These are Preferred Provider Organization (PPO) where members receive care through the participating doctors and hospitals in GHI broad network providers well as benefits outside the network. These plans are a Preferred Provider Organization (PPO) type plan and are offered both with, and without Part D (prescription drug coverage).

GHI PPO Any Dual and Value Plan - Our Custom 1 Plan offers a Special Needs Plan for members receiving assistance of the State. GHI PPO Value member must be receiving Full Medicaid Benefits.( More text to follow)

GHI PDP Prescription Drug Plans - This is a prescription drug plan that is available to prospects in the state of New York.

The GHI PPO Medicare Advantage Network
GHI Medicare PPO service area includes the following counties in New York: New York, Bronx, Kings, Queens, Richmond, Nassau, Suffolk, Orange, Ulster, Dutchess, Rockland, and Westchester.

GHI, in coordination with participating providers, will maintain and monitor its network of participating providers to ensure that members have adequate access to PCPs, specialists, hospitals, and other health care providers, and that their care needs may be met.

Members of the GHI Medicare PPO Plans (PPO Plans) may see any Medicare-approved provider nationwide.

GHI Medicare Provider Tip Sheet
Your fast, easy to use reference for information related to Medicare claims.

Samples of Medicare Member ID Cards

H5528_121058r - 10/06/2009
S5966_121067r - 10/06/2009