Medicare Resources

We understand how complex and confusing Medicare can be. There are many different types of Medicare insurance options available, including Medicare Advantage, Supplements, and Prescription Drug plans. Dozens of insurance companies offer Medicare coverage options, and furthermore many healthcare providers do not typically accept all Medicare plans.

In partnership with MedicareCompareUSA, Northeast Georgia Health System is pleased to offer the Medicare Insurance Helpline – a free and unbiased resource for comparing and enrolling in Medicare plans accepted by NGHS providers. The Medicare Insurance Helpline can connect you with professional and highly trained agents to help you every step of the way.

Preparing for Medicare eligibility? Turning 65?

As you approach age 65 and Medicare eligibility, we are taking this opportunity to share some important information about Medicare with you so you can be aware and educated about your options. Click here to complete our Medicare Questionnaire.

We request that all patients approaching age 65 take a few moments to complete a Medicare Patient Questionnaire. The information you provide helps us prepare to better serve you as you transition to Medicare. The questionnaire also provides information regarding helpful resources NGHS provides for our Medicare patients and the community.

Receive Personalized Assistance

Learn about your Medicare benefits and the different types of Medicare plans such as Medicare Advantage, Medicare Supplement, and Part D Prescription Drug Plans. Get your Medicare questions answered, compare our accepted Medicare plans, and receive assistance throughout the Medicare plan enrollment process. Click here to request a consultation

The Medicare Insurance Helpline is serviced by MedicareCompareUSA, an independent insurance agency representing Medicare plans accepted by NGHS. MedicareCompareUSA affiliated agents are extensively trained to assist patients with Medicare plan comparisons as well as helping patients match plans to their specific needs, preferences, and budget.

The Medicare Insurance Helpline can assist you with:

  • Verifying and comparing Medicare plans accepted by your health care providers
  • Comparing Medicare Advantage, Medicare Supplement, and Medicare Prescription Drug Plans
  • Identifying a Medicare Prescription Drug Plan that covers your medications at the lowest cost
  • Assistance throughout the Medicare plan enrollment process
  • Specialized Medicare education for those new to Medicare or Turning 65
  • Reviewing your options each year during the Medicare Annual Enrollment Period (AEP) 10/15 – 12/7

MedicareCompareUSA is an independent insurance agency not affiliated with the federal Medicare program. All services provided at no cost; MedicareCompareUSA and affiliated agents are paid directly by the plan you choose. Healthcare providers receive no financial benefit when patients use the service. Patients are free to contact each Medicare plan directly, work with any licensed insurance agent, or access Medicare plan information by calling 1 (800) MEDICARE or online at www.medicare.gov.


Additional Medicare Information

Medicare Advantage

Medicare Advantage plans are offered by private insurance companies that have a contract with Medicare. These plans incorporate Medicare Part A, Part B and often Part D (Medicare Prescription Drug coverage) – into one plan. Medicare Advantage plan availability varies by county. A Medicare beneficiary’s county of residence will determine which Medicare Advantage plans are available

NGHS Contracted Medicare Advantage Plans

NGHS, which includes Northeast Georgia Medical Center (NGMC), Northeast Georgia Physicians Group (NGPG) and Georgia Heart Institute, accepts Georgia Medicaid and will be contracted with several Medicare Advantage plans.

Non-Contracted Medicare Advantage Plans

If you have a Medicare Advantage PPO that is not listed under our NGHS contracted plans, as a courtesy NGHS will bill the plan as a non-participating provider. This includes retirees with State Health Benefit Plan (SHBP), insured by Blue Cross Blue Shield and United HealthCare for the 2020 and 2021 plan benefit year. 

SHBP retirees can still access NGHS facilities and providers without penalty. For benefit information, please call SHBP (contact numbers found here) or call UnitedHealthcare.

To access a guide for SHBP Retirees, please view the SHBP 2021 Retiree Decision Guide.

NOTE: In some cases, co-payments and cost-sharing may be greater when utilizing non-participating providers.

Medicare Supplement

NGHS accepts all forms of Medicare Supplement insurance. Sometimes referred to as Medigap insurance, a Medicare Supplement works in conjunction with Original Medicare. 

Medicare Supplements provide coverage that is secondary to Medicare, helping to insure the approximate 20% of healthcare expenses not covered by Original Medicare. Medicare Supplements generally do not include a prescription drug plan, so beneficiaries wanting coverage for medications will need to purchase a stand-alone Medicare Prescription Drug plan.