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Still Have Questions About Aspire? ¿Aún tiene preguntas sobre Aspire?

By clicking the “Send” button, you agree that an Aspire Health Plan representative may call to discuss Aspire Medicare Advantage health plan options.

Haciendo clic en el botón "Enviar", usted acepta que un representante de Aspire Health Plan le llame para discutir opciones del plan de salud de Aspire Medicare Advantage.

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Thank You

On behalf of the Aspire team, thank you for entrusting us with your health. Now you can relax and enjoy the benefits of your plan. - Scott Kelly, COO

Pharmacy Benefit Portal Medimpact Online Payments credit card

Coverage Decisions,
Appeals & Grievances

Appointment of Representative form Coverage decisions Grievances Medical care appeals Medical care coverage decisions Other help is available Prescription drug appeals Prescription drug coverage decisions and exceptions More information

Important Plan
Documents

All-in-One Medicare Advantage Decision Guide Annual Notice of Change Benefit highlights Changes to COVID related flexibilities PDF Also availible in Spanish (en español PDF) Choose to share your health information Enhanced benefits Enrollment instructions and forms Evidence of Coverage Mail-order prescriptions Multi-language interpreter services Provider Directory Summary of Benefits for Monterey County Prescription Drug Formulary More information
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Drug Coverage

Extra help for Part D drugs Medication Therapy Management (MTM) Out-of-Network pharmacy coverage Pharmacy directory Prescription drug formulary Prescription drug transition policy Quality Assurance More information

Member Forms

Appeal & Grievance form PDF  |  Formulario de apelaciones y reclamos Spanish (en español PDF)

Authorization request form  |  Spanish (en español PDF)
Authorization for Use or Disclosure of Health Information  |  Spanish (en español PDF)

Claim Reimbursement request form PDF  |  Solicitud de reclamo para reembolso Spanish (en español PDF)

Electronic Funds Transfer Form  |  Spanish (en español PDF)
Enhanced Benefit Disenrollment Form PDF | Enhanced Benefit Disenrollment Form – (en español PDF)

Late Enrollment Period (LEP) Appeals

Part D Redetermination Request Form PDF |  Formulario de solicitud de redeterminación de MedicareSpanish (en español PDF)

2023 Plan Change Form  |  2023 Spanish (en español PDF)

Questions & Answers

For answers to our most frequently
asked questions, view this document. Also available in Spanish (en español) PDF Connected Consumer Site