The first thing physicians discover about Signature Advantage is that we aren’t just another Medicare Advantage health plan. We have a different philosophy, attitude and approach to caring for our Members. Our emphasis is on encouraging proactive health care and offering programs and services that can make a difference in our Members, your patients’, quality of life.

We believe in providing our Members exceptional benefits and an abundance of attention. And, we believe Signature Advantage providers deserve the same.

Signature Advantage (HMO SNP) firmly believes that our success as a health plan hinges on our participating providers. And we are committed to simplifying the administration of health insurance so our providers can devote their attention to providing high-quality health care.

We are always available if questions arise, and we collaborate with our providers to help ensure the efficient delivery of superior care to our members.

Two ways to submit claims:

EDI-SA001

Mail: Signature Advantage
PO Box 93720
Lubbock, TX 79493

Signature Advantage provides Medicare Part D prescription drug coverage through our partner Envision Rx.

Envision Rx is a full-service pharmacy benefit management company. Together we will make coverage determinations for our patients easier with www.envisionpromptpa.com.

For Prescribers:

• Access your prior authorization needs at www.envisionpromptpa.com
  • Select “Prescriber”
  • Choose from Tab Options: New Prior Authorization, Check Status or Complete Existing Request
  • Answer all Prescriber, Patient and Prescription questions
• EnvisionRx Pharmacy Helpdesk
  • Phone number: 1-833-803-4397
  • TTY phone number: 711
• Refer to the Prescription Drug Benefit page for formulary, prior authorization criteria, and step therapy criteria

For Pharmacies:

• Access your prior authorization needs at www.envisionpromptpa.com
  • Select “Pharmacy”
  • Choose from Tab Options: New Prior Authorization, Check Status or Complete Existing Request
  • If you are a Long Term Pharmacy, choose “Retail Pharmacy” as your pharmacy type.
  • Answer all Patient and Prescription Questions.
• EnvisionRx Pharmacy Helpdesk
  • Phone number: 1-833-803-4397
  • TTY phone number: 711
• Refer to the Prescription Drug Benefit page for formulary, prior authorization criteria, and step therapy criteria

At Signature Advantage, we specialize in improving health care and advancing a truly unique philosophy of care to meet the complex needs of the institutional Medicare beneficiary population, while simultaneously streamlining administrative functions for our Providers.

The Signature Advantage Model of Care focuses on providing a unique level of customized clinical care and services for residents in nursing facilities. As we help extend your care, our care model concentrates on addressing each Member’s full range of medical, functional, and behavioral health care needs in a coordinated and Member-centric manner. This means putting the Member’s preferences at the center of the care planning process and leveraging Provider resources to ensure every Member receives the services necessary to achieve their short- and long-term care goals.

Our model organizes best practices and industry innovations including:

• The Advanced Nurse Practitioner (ANP) and primary care physician (PCP)/NFist (a PCP specializing in the care of nursing home patients) care team providing onsite, facility-based PCP support;
• A risk-assessment tool designed for a senior, nursing facility patient population;
• A comprehensive history and physical assessment that generates an Individualized Care Plan (ICP);
• A care management platform that helps identify needed preventive health/HEDIS services, ensures the use of evidence-based clinical guidelines, and facilitates care team communications for care coordination; and
• Frequent face-to-face Member and caregiver/family member interactions that identify Member care preferences and allow time for important care decision discussions and counseling.

It is important that all of our Providers are properly trained and informed about the Signature Advantage Model of Care. Our top priority is making sure all of the providers in the Signature Advantage network meet the training and education needs of our institutional Medicare beneficiary population. The purpose of the Model of Care Training is to comply with the statutory requirement of the Centers for Medicare and Medicaid Services (CMS), that all Special Needs Plans provide a general understanding of the requirements of the Model of Care. In addition, this will also help you to seamlessly serve Signature Advantage Members, your patients.

Signature Advantage contracts with physicians, facilities and other allied providers to ensure we have an adequate provider network which is essential for the delivery of health care services to our members. All providers must be credentialed before they can be added to our network as a participating provider.

Why Partner with Signature Advantage:

• From the beginning, physicians discover that Signature Advantage isn’t just another Medicare Advantage health plan.
• We have a different philosophy, attitude and approach to caring for our Members.
• Our emphasis is on encouraging proactive health care and offering programs and services that can make a difference in our Members/your patients’ quality of life.
• We believe in providing our Members exceptional benefits and an abundance of attention.
• And we believe Signature Advantage (HMO SNP) providers deserve the same.

For more information on becoming a Signature Advantage contracted provider, please contact Network Operations at 1-844-214-8633 or via email at networksupport@signatureadvantageplan.com.