Questions? Contact Customer Service at (855) 645-8448
Below you'll find our enrollment form that you can print out, complete and mail to Memorial Hermann Advantage. Mail your completed form to:
Memorial Hermann Medicare Advantage Enrollment
929 Gessner Road
This document includes a detailed legal description of your benefits and costs as a member. All Evidence of Coverage (EOC) documents are organized by plan name.
The Summary of Benefits provides some of the features of our plans. These documents are organized by plan name. For a complete list of benefits, see your Evidence of Coverage (EOC).
Here at Memorial Hermann Advantage we strive to provide our members with the most accurate Provider Directories. If you need help finding a network provider, please call Customer Service: (855) 645-8448 (TTY 711)
Aquí en Memorial Hermann Advantage nos esforzamos por ofrecer a nuestros miembros los Directorios de Proveedores más precisos. Si necesitas ayuda para encontrar un proveedor dentro de la red, llama al: (855) 645-8448 (TTY 711)
o visita aquí para acceder a nuestro directorio de búsqueda online. Si deseas recibir por correo un Directorio de Proveedores, puedes llamar al número indicado más arriba o solicitar uno en el sitio web aquí.
Here at Memorial Hermann Advantage we strive to provide our members with the most accurate Pharmacy Directories. If you need help finding a network provider, please call customer service: (855) 645-8448 (TTY 711).
Aquí en Memorial Hermann Advantage nos esforzamos por ofrecer a nuestros miembros los Directorios de Farmacias más precisos. Si necesitas ayuda para encontrar un farmacia dentro de la red, llama al: (855) 645-8448 (TTY 711).
O visita aquí para acceder a nuestro directorio de búsqueda online. Si deseas recibir por correo un Directorio de Farmacias, puedes llamar al número indicado más arriba o solicitar uno en el sitio web aquí.
The Formulary may change at any time during the year. You will receive notice when necessary.
If you take a "long-term" medication, consider enrolling in Costco Mail Order Pharmacy services. There are two options available to you: traditional mail order or online enrollment. For more information on home delivery (mail order) information, please visit the Costco Mail Order section of the Pharmacy FAQ page.
To enroll in traditional mail order services, please see the forms below.
For instructions on how to enroll for prescriptions online with Costco Mail Order, click here.
This private, secure website is designed just for you. All of your pharmacy plan information is available and kept up-to-date in real time.
Easy access allows you to:
Visit https://members.navitus.com/ and use your member ID number to register. Questions? Call Navitus Customer Service at (866) 270-3877. (Please note that by clicking on this link, you will be leaving Memorial Hermann website).
The mobile app provides easy, on-the-go access to your personalized health information. Once you have your member ID number, download the app to take advantage of the benefits your pharmacy plan offers. Managing your prescription medications is a key part of managing your health. Take your medication information with you wherever you are with the mobile app. Download now for iOS and Android devices. (Please note that by clicking on this link, you will be leaving Memorial Hermann website).
For Mobile App Account Assistance Contact Customer Care, please call customer service at (844) 268-9789.
For more information on your pharmacy benefits, contact Navitus Customer Service at (855) 645-8448.
Dental benefits under the Memorial Hermann Medicare Advantage plans are provided by Delta Dental. Please review your plan’s Evidence of Coverage (EOC) to ensure you fully understand the dental benefits offered with your specific plan. Contact Delta Dental directly at (888) 845-6023 for questions regarding your benefits or help finding an in-network provider. You may also register for online services or review your dental benefits at Delta Dental.
(Please note that by clicking on this link, you will be leaving Memorial Hermann Advantage website.)
Part D Transition Policy
This transition policy applies to Part D medications and ensures a smooth transition for new Memorial Hermann Advantage members.
To request coverage for a non-formulary drug, a quantity limit exception, a step therapy exception or drugs requiring prior authorization, please download the Request for Coverage Determination Form.
Our plan allows for reimbursements of certain claims. Please download the form below, complete it and follow the submission directions.
The Medicare Program rates all health and prescription drug plans each year, based on a plan's quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan's performance to other plans.
Appointment of Representative (AOR) Form
This form confirms your request for a particular person to act as your representative in connection with a claim.
For information on how to Authorization To Disclose Protected Health Information, visit our Privacy Page.