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elderly couple

"Everyone that I have spoken to at SWH has been exceptionally courteous and helpful."

About the Plan

Senior Whole Health (SWH) HMO SNP is a comprehensive and flexible health care plan for anyone aged 65 or older who is enrolled in MassHealth Standard and live in the Senior Whole Health service area. Eligible persons may also have Medicare. We are an approved Medicare Special Needs Plan and Medicare Part D Pharmacy Plan.

SWH’s mission is to maximize our members’ quality of life, health, security and independence by offering a voluntary health care plan that’s simple to join, provides security and peace of mind through support and advocacy, and helps members live as independently as possible through comprehensive, community-based support and services.

As soon as you join SWH, you’ll notice that we definitely are not your typical health care plan.

Simple

One-stop health care — SWH integrates all the benefits of Medicare, Medicaid and the Medicare Part D into one cohesive and comprehensive plan that is easy to use and easy to understand.

SWH pays for your health care and medications and helps you organize your doctor’s visits, hospital stays, as well as home services you might need when you can’t care for yourself. SWH also covers preventive care like flu shots, and even exercise classes.

Secure

SWH prides itself on being easy to reach, offering a personal touch, and having staff who are fluent in many languages. SWH members and providers have 24/7 phone access to a SWH Nurse Care Manager. SWH Community Support Coordinators arrange and organize services, as well as act as advocates for our members. Home visits, collaboration with your doctors, availability of interpreters, and phone access to SWH ensures a personal touch and quick response for our members.

Independent

SWH members and their caregivers are constantly involved in decisions regarding their health care. We provide access to an array of home- and community-based services to help you remain in the residence of your choice, whether it is at home, in assisted living, a nursing home, or other location.

Annual Contract Renewal:

Contracts between plans and Medicare are renewed annually. Plans and/or Medicare may choose not to renew a contract resulting in termination of the plan and termination of beneficiary’s enrollment in the plan. Plans may also choose to reduce their service area and no longer offer services in the area where the beneficiary resides. If this happens, all members will receive written notice at least 60 days prior to termination of their enrollment, including information on other health plan options and how to contact and enroll in another plan.


Last modified: 12/22/2011