Understanding Medicare
Eligibility, Enrollment, Disenrollment, & Payment Options
Here’s what you need to know to get started.
Eligibility
- You must be enrolled in Medicare Part A (Hospital) and Part B (Medical)
- You must continue to pay your Part B premium
- You must live within the service area of the plan you wish to enroll
- Medicare beneficiaries diagnosed with End Stage Renal Disease may not be eligible to enroll
Enrollment
2026 Enrollment Applications
2025 Enrollment Applications
Disenrollment
- You may disenroll from MAHP at any time for any reason.
- MAHP needs to receive your disenrollment request in writing and coverage will end the last day of the month. Your request needs to be our office by the last day of the month to disenroll for that month.
- You will receive written confirmation from MAHP of your disenrollment effective date. Any paid, unused premium will be returned to you.
Medicare Plan Rating Information
The Star Ratings Program is consistent with the “Meaningful Measures” framework, which focuses on measures related to person-centered care, equity, safety, affordability and efficiency, chronic conditions, wellness and prevention, seamless care coordination, and behavioral health. With Meaningful Measures 2.0, CMS plans to better address health care priorities and gaps, emphasize digital quality measurement, and promote patient perspectives of care.
The Star Ratings include measures applying to the following five broad categories:
- Outcomes: Outcome measures reflect improvements in a beneficiary’s health and are central to assessing quality of care.
- Intermediate Outcomes: Intermediate outcome measures reflect actions taken that can assist in improving a beneficiary’s health status. Diabetes Care – Blood Sugar Controlled is an example of an intermediate outcome measure where the related outcome of interest would be better health status for beneficiaries with diabetes.
- Patient Experience: Patient experience measures reflect beneficiaries’ perspectives of the care they received.
- Access: Access measures reflect processes and issues that could create barriers to receiving needed care. Plan Makes Timely Decisions about Appeals is an example of an access measure.
- Process: Process measures capture the health care services provided to beneficiaries which can assist in maintaining, monitoring, or improving their health status.
Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.
2026 Ratings
H1651 - Iowa/Illinois Plan: Awarded 5 out of five (5) stars by Medicare
H5256 - Wisconsin Plan: Awarded 4 out of five (5) stars by Medicare
2025 Ratings
H1651 - Iowa/Illinois Plan: Awarded 4.5 out of five (5) stars by Medicare
H5256 - Wisconsin Plan: Awarded 5 out of five (5) stars by Medicare
Initial Decisions, Appeals, & Grievances (Complaint) Process
Our Member Services Department will assist you with any questions.
If you have a problem or concern of any type, call our Member Services Department and they will assist in answering your question or direct you to the appropriate resource to address your concern.
Initial Decisions, Appeals and Grievance Handout
CMS Complaint Form †
Appointment of Representative Form †
† Medical Associates is not responsible for the content or policies of external internet sites.
Other Important Medicare Information
