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Wichita Kansas Form 656-B: What You Should Know

Wesley Health Plan is subject to an annual assessment of approximately 14,099 per individual for Medicare and Part A & Part B premiums. Annual contribution amounts can be found in your individual tax filing statement available at the IRS website. Wesley Healthcare Plan also offers a variety of private health insurance options with plans varying by age, geographic area, and state for which individual and family members may pay in advance. Please see additional contact information at . Wesley Healthcare Plan Medical and Dental Care, including vision, prescription drugs and life-saving surgeries, are covered pursuant to the terms and conditions of your policies, which are fully paid by The Wesley Healthcare Plan. It is the policy and practice of The Wesley Healthcare Plan, under the direct direction of its medical, surgical, and dental directors, doctors and professionals, to provide care consistent with the best medical and surgical science. Wesley Healthcare Plan physicians and their staff, their designated clinics and medical practices, are independent practitioners. Wesley Healthcare Plan physicians, nurses and their staff, their designated clinics and medical practices are independent practitioners and not owned or controlled, in whole or in part, by The Wesley Healthcare Plan. Wesley Healthcare Plan is committed to providing you with an in-network doctor or nurse practitioner, and you have the option of selecting an in-network dental plan and a preferred hospital. You also have the option of a physician network in which you will receive general, diagnostic, and elective procedures in addition to the care you receive when seen by an in-network physician, and you have the option of an in-network pharmacy benefit manager. If you no longer qualify for Medicare or a Medicare Advantage Plan, but you are covered by a plan under an employer-sponsored health insurance plan, you may submit your request for reconsideration with your employer. Your request will not be considered without first being confirmed with your employer. If you are in this situation, but have decided not to participate in the Medicare Advantage Plan, you will need to request that your insurance carrier pay your deductible. Please contact your insurance carrier about this option. For those eligible and eligible for Medicaid, your health plan's coverage may include hospital, physicians, and prescription drug coverage. When you are in an area covered by the program and receive Medicare, Medicaid or a TRI CARE health benefit plan, you may be able to save up to an additional 1000 off your deductible. If you are in an area covered by an emergency Medicaid program, you still may be eligible for the additional amount.

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