Medicare-Medicaid Plan by Absolute Total Care

Absolute Total Care is a Medicare-Medicaid Plan (MMP) that contracts with both Medicare and South Carolina Healthy Connections Medicaid to provide benefits of both programs to enrollees. The goal of this program is to improve the experience in accessing care and to improve the quality of healthcare. Enrollment in Absolute Total Care depends on contract renewal. There are zero premiums and cost-sharing with this plan.

This plan is available to seniors who are enrolled in Medicare Parts A, B, and D and receives full Healthy Connections Medicaid benefits.

This information is available for free in other languages. Please call Member Services at 1-855-735-4398. Hours are from 8 a.m. to 8 p.m., Monday through Friday.  After hours, on weekends and on federal holidays, you may be asked to leave a message. Your call will be returned within the next business day. TTY users call 711.

Absolute Total Care’s service area includes the following counties in South Carolina:

Upstate Region: Abbeville, Bamberg, Barnwell, Chester, Fairfield, Greenville, Kershaw, Laurens, Lexington, McCormick, Newberry, Pickens, Richland, Saluda, Spartanburg, and Union.

Coastal Region: Beaufort, Berkeley, Calhoun, Charleston, Chesterfield, Clarendon, Colleton, Dillon, Florence, Georgetown, Hampton, Jasper, Lee, Marion, Marlboro, Orangeburg, Williamsburg.

We are here to help you get the health care you need, when you need it and to keep you healthy.

We offer:

  • Prescription drug benefits
  • Nurses to help you with your health services
  • Health club membership / fitness classes
  • Hearing services
  • Over-the-Counter Benefits
  • Choice of doctors and pharmacies

Now is the time to think about what you want to get out of your health care plan. It is your choice!

More information on Medicare benefits and services can be found 24 hours a day, seven days a week at: http://www.medicare.gov/ Or call 1-800-MEDICARE (1-800-633-4227), TTY users call: 1-877-486-2048. Calls to this number are free, 24 hours a day, 7 days a week.

Important Notifications

Due to Hurricane Irma in the State of South Carolina, Governor McMaster declared a state of emergency.

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.  

For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers.  You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closed or October 6, 2017, whichever is earlier.

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

Notification

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently confirmed that the HHS OIG Hotline telephone number is being used as part of a telephone spoofing scam targeting individuals throughout the country. These scammers represent themselves as HHS OIG Hotline employees and can alter the appearance of the caller ID to make it seem as if the call is coming from the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477). The perpetrator may use various tactics to obtain or verify the victim’s personal information, which can then be used to steal money from an individual’s bank account or for other fraudulent activity. HHS OIG takes this matter seriously. We are actively investigating this matter and intend to have the perpetrators prosecuted.

It is important to know that HHS OIG will not use the HHS OIG Hotline telephone number to make outgoing calls and individuals should not answer calls from 1-800-HHS-TIPS (1-800-447-8477). We encourage the public to remain vigilant, protect their personal information, and guard against providing personal information during calls that purport to be from the HHS OIG Hotline telephone number. We also remind the public that it is still safe to call into the HHS OIG Hotline to report fraud. We particularly encourage those who believe they may have been a victim of the telephone spoofing scam to report that information to us through the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477) or spoof@oig.hhs.gov. Individuals may also file a complaint with the Federal Trade Commission 1-877-FTC-HELP (1-877-382-4357).

More information is available on the OIG Consumer Alerts webpage at https://oig.hhs.gov/.

Last Updated: 09/30/2017
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