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

By clicking the “Send” button, you agree that an Aspire Health Plan HMO sales representative may call to discuss Aspire Medicare Advantage health plan options. The person that will be discussing plan options with you is either employed or contracted by a Medicare health plan or prescription drug plan that is not the Federal government, and that person may be compensated based on your enrollment in a plan. Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan.

Le podemos llamar. Llene la siguiente información y nos comunicaremos con usted para organizar una cita.Haciendo clic en el botón "Enviar", usted acepta que un representante de ventas de Aspire Health Plan HMO le llame para discutir opciones del plan de salud de Aspire Medicare Advantage. La persona que estará discutiendo las opciones del plan es empleado o contratado por un plan de salud de Medicare o un plan de medicamentos recetados que no pertenece al Gobierno Federal, esta persona podrá ser compensada según su inscripción en un plan. El enviar esta forma NO afecta su inscripción actual, ni se le inscribirá en un Plan Medicare Advantage, o Plan de medicamentos recetados o en otro plan de Medicare.

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Important plan documents

The following documents provide important information on services and benefits to help you make an informed decision about enrolling.

All-in-One Medicare Advantage Decision Guide

All-In-One Medicare Advantage Decision Guide PDF | Guía completa Spanish (en español PDF)
Annual Notice of Change

Annual Notice of Change Aspire Health Advantage (HMO) PDF | Aviso Anual de Cambios para - Aspire Health Advantage (HMO) Spanish (en español PDF)

Annual Notice of Change Aspire Health Plus (HMO-POS) PDF | Aviso Anual de Cambios para - Aspire Health Plus (HMO-POS) Spanish (en español PDF)

Annual Notice of Change Aspire Health Value (HMO) PDF | Aviso Anual de Cambios para - Aspire Health Value (HMO) Spanish (en español PDF)

Annual Notice of Change Aspire Health Group Plus (HMO-POS) PDF | Aviso Anual de Cambios para - Aspire Health Group Plus (HMO-POS) Spanish (en español PDF)
Appointment of Representative form

You have the right to appoint a person to file a coverage decision, appeal or grievance for you. You will need to fill out an Appointment of Representative form PDF. The form should be signed by both you and the individual you would like to represent you. Once you have completed the form, you must submit that form via fax for mail to the applicable fax number or address listed above before we can talk to your representative.

Appointment of Representative information PDF | Nombramiento de un Representante Spanish (en español PDF)
Appointment of Representative information form Instructions PDF | Nombramiento del formulario de información del representante Instrucciones Spanish (en español PDF)
Aspire Health privacy notice

Privacy notice PDF | Aviso sobre privacidad Spanish (en español PDF)
Benefit highlights

Benefits highlights PDF | Opciones de planes Spanish (en español PDF)
Care in an emergency or disaster

Getting medical care & prescription drugs in disaster or emergency areas

If the Governor of California, the U.S. Secretary of Health and Human Services, or the President of the United States declares a state of disaster or emergency in Monterey County, you can still get medical care and prescription medications from Aspire Health Plan.

Generally, during a disaster or emergency, Aspire Health Plan will allow you to obtain medical care from out-of-network providers at in-network cost-sharing rates without prior authorization requirements. In cases where payment is required up front for the out-of-network care you may submit a request for reimbursement to the plan.

Claim Reimbursement request form PDF | Solicitud de reclamo para reembolso Spanish (en español PDF)
Aspire Health Plan has a national network of pharmacies available to fill prescriptions for medications. If you cannot use a network pharmacy during a disaster, you may be able to fill your prescription drugs at an out-of-network pharmacy. In cases where payment for the cost of the drugs is required at the time the prescription is filled you may submit a request for reimbursement to the plan.

Claim Reimbursement request form PDF | Solicitud de reclamo para reembolso Spanish (en español PDF)
For more information on how to obtain needed care and medications during a disaster or emergency please call the Aspire Health Plan customer service team toll free at 855-570-1600(TTY users call 711), 8 am to 8 pm PST Monday through Friday (except certain holidays) from April 1 through September 30 and 8 am to 8 pm PST seven days a week for the period of October 1 through March 31.
Claim reimbursement request form

Claim Reimbursement request form PDF | Solicitud de reclamo para reembolso Spanish (en español PDF)
Enhanced benefits
Aspire Health Plan provides comprehensive medical and pharmacy benefits, including preventive care and screenings for all our Medicare Advantage plans. If you’re looking to enhance your coverage we offer optional supplemental benefits. We have two packages to meet your needs. For an additional monthly premium, you can add dental vision, hearing, transportation and post discharge meals to any one of our three plans.

Option A – $44.90 additional premium per month includes:
- Dental
- Vision
Option B – $49.90 additional premium per month includes:
- Dental
- Vision
- Hearing
- Transportation – 10 additional rides
- 14 home delivered meals, post discharge
For a complete listing of all the benefits:
Enhanced Benefits PDF | Beneficios mejorados Spanish (en español PDF)

Enhanced Benefits enrollment form PDF | Formulario de inscripción de beneficios mejorados Spanish (en español PDF)
Enhanced Benefits disenrollment form PDF | Formulario de Cancelación de Beneficios Mejorados Spanish (en español PDF)
Enrollment instructions and forms

Aspire Health Plan enrollment form PDF | Formulario de inscripción de Aspire Health Spanish (en español PDF)
Scope of Sales Appointment confirmation form PDF | Alcance del formulario de confirmación de cita de ventas Spanish (en español PDF)
CMS Star Ratings PDF | Calificaciones por estrellas Medicare Spanish (en español PDF)
Disenrollment form PDF | Forma de Desafiliación Spanish (en español PDF)
Evidence of Coverage

Evidence of Coverage - Aspire Health Advantage (HMO) PDF | Evidencia de Cobertura - Aspire Health Advantage (HMO) Spanish (en español PDF)

Evidence of Coverage - Aspire Health Group Plus (HMO-POS) PDF

Evidence of Coverage - Aspire Health Plus (HMO-POS) PDF | Evidencia de Cobertura - Aspire Health Plus (HMO-POS) Spanish (en español PDF)

Evidence of Coverage - Aspire Health Value (HMO) PDF | Evidencia de Cobertura - Aspire Health Value (HMO) Spanish (en español PDF)

Where to find important documents PDF | Donde encontrar documentos importantes Spanish (en español PDF)
Mail-order prescriptions

If you rely on regular or long-term medications, there may be a better way to get your prescriptions filled. The CastiaRx Home Delivery is the smart, simple way for you to get prescriptions delivered to your door. 2019 Mail Order Pharmacy. And, you save money on your prescription copays with our 3 months supply for two copayments.

Home Delivery registration form PDF | Formulario de inscripción para entregas a domicilio Spanish (en español PDF)
Member forms

Claim Reimbursement request form PDF | Solicitud de reclamo para reembolso Spanish (en español PDF)
Late Enrollment Penalty (LEP) Appeals

Medicare's Redetermination request form PDF | Formulario de solicitud de redeterminación de Medicare Spanish (en español PDF)
Electronic Funds Transfer form PDF | Formulario de transferencia electrónica de fondos Spanish (en español PDF)
Member plan change form PDF | Formulario de cambio de plan de miembro Spanish (en español PDF)
Multi-language interpreter services

Multi-language interpreter services PDF Multi-language interpreter services
Provider Directory

Search for a provider or pharmacy

When you’re ready, check out our Enrollment page. Or call 831-574-4938 (local), 855-570-1600 (toll free) to speak with a representative.

If you would like to request a mailed copy of the current Provider and Pharmacy Directory, or if you need help finding a network provider and/or pharmacy, please call member services toll free at (855) 570-1600 (TTY users call 711) or click on the following link for more information.

Where to find important documents PDF | Donde encontrar documentos importantes Spanish (en español PDF)
FAQ

2019 Frequently asked questions

Preguntas Frecuentes PDF Preguntas Frecuentes
Summary of Benefits for Monterey County

Summary of Benefits PDF | Resumen de Beneficios Spanish (en español PDF)

For more information, you can visit the Medicare website or call
1-800-MEDICARE 24 hours a day/7 days a week (1-800-633-4227).
TTY users should call 1-877-486-2048

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

Important plan documents

All-in-One Medicare Advantage Decision Guide

Annual Notice of Change

Appointment of Representative form

Aspire Health privacy notice

Benefit highlights

Care in an emergency or disaster

Claim reimbursement request form

Enhanced benefits

Enrollment instructions and forms

Evidence of Coverage

Mail-order prescriptions

Member forms

Multi-language interpreter services

Provider Directory

FAQ

Summary of Benefits for Monterey County