Healthy Living Extra | winter 2008

Protect Yourself from the Flu with Your FREE Flu Shot

Another winter, and another flu season is here. Every year about 10 to 20 percent of Americans come down with the flu. Most healthy people recover, but more than 100,000 people end up in the hospital from the illness and from flurelated complications.

While nearly everyone can benefit from having a flu vaccine this year, people in these highrisk groups should be sure to get a shot:

  • Anyone with a chronic illness such as heart, lung, or kidney disease; diabetes; or a weakened immune system
  • Adults ages 50 and older
  • Nursing home residents
  • People who take care of at-risk populations
Eggs are used in the process of making the vaccine. If you are allergic to eggs, you should not get a flu vaccine. If you're unsure whether you should get the flu vaccine, check with your doctor.

Windsor Medicare Extra covers your flu shot; there is no copayment. However, depending upon your plan, office copayment charges may apply if additional services are received. If you get a flu shot somewhere else, such as a local pharmacy, call your PCP. This helps keep your medical record up-to-date.

Call your healthcare provider today to find out when flu shots are offered.

Other Ways to Prevent Flu

Take these additional steps to prevent the flu:
  • Cover your nose and mouth if you sneeze or cough.
  • Use tissues, then toss them.
  • Avoid touching your eyes, mouth, and nose.
  • Avoid people who are ill.
  • Get plenty of rest.



Windsor Medicare Extra is a product of Windsor Health Plan, Inc., a Medicare Advantage organization with a Medicare contract.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.

Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1, 2011.

You must continue to pay your Medicare Part B premium.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it. for more information about this Extra Help, contact your local Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY users should call 1-800-325-0778. Or you can call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

To request materials in alternative formats (i.e. large print or audio compact disk) or other languages, please contact our Customer Service department at 1-800-316-2273 (TTY: 1-866-460-7617) 7 a.m. - 8 p.m. Central Time, seven days a week.

In general, beneficiaries must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances, and quantity limitations and restrictions may apply.

You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Windsor Medicare Extra will be responsible for the costs.

Windsor Medicare Extra Comp Plus Plan (HMO SNP) is available to all persons with Medicare who also receive Medical Assistance from their state Medicaid/Tenncare programs. Premiums, co-pay, co-insurance and deductible amounts are based on the level of Extra Help you receive. You should check with your state to confirm your eligibility level, or contact the plan for further details.

Windsor Medicare Extra Diabetes Plan (HMO SNP) is available to all persons with Medicare who have been diagnosed with diabetes mellitus by a physician. Physician documentation of your condition to demonstrate your eligibility for the plan will be required to complete your enrollment in the plan.

Windsor Medicare Extra Fusion Plan (HMO SNP) is available to all persons with Medicare who have been diagnosed with the following chronic or disabling conditions: bipolar disorder, major depression, paranoid disorder, schizophrenia, schizoaffective disorder. Physician documentation of your condition to demonstrate your eligibility for the plan will be required to complete your enrollment in the plan.