For Medicare Patients

Medicare started an exciting initiative where doctors and other healthcare professionals share goals to improve patient care. This initiative is called the Global and Professional Direct Contracting Model, which connects organizations such as Equality Health Direct with healthcare professionals to provide improved care for patients throughout their health and wellness journey.

Ask your primary care provider if they’re part of Equality Health Direct. If they participate in the model, your Medicare benefits will NOT change, and you can visit any doctor, other healthcare professional, or hospital.

Together with our network of primary care providers, Equality Health strives to ensure that all people receive high-quality, affordable, whole-person care that improves and enhances lives regardless of age, gender, race, ethnicity or income. Our goal is to help patients gain access to quality care that focuses on their overall well-being – physical, behavioral, and social factors – so they can meet their health and wellness goals.

Participating in the Global and Professional Direct Contracting Model helps us work more closely with healthcare professionals, with the shared goal of providing the best care possible.

Voluntary Alignment

Voluntary Alignment is a process to select and report to the Centers for Medicare & Medicaid Services (CMS) who your primary healthcare provider is. You can use the “Confirmation of Main Doctor” form provided to you at your next office visit or Log into Medicare.gov to confirm that your Primary Care practice is the main provider or the main place you go for routine care and to help determine if Equality Health Direct should help coordinate your care.

Routine care can include regular care and check-ups you get from a doctor or other health care professional and care for other chronic health problems, such as asthma, diabetes, and hypertension.

To find the form, you can request a copy from us. You can also complete this online. Log into Medicare.gov and select your main doctor or other health care professional in order to determine whether Equality Health Direct should help with coordinating your care. If you make a selection on the form and make a different selection through Medicare.gov. Medicare will prioritize the most recently submitted selection.

Voluntary Alignment will NOT change your benefits, and you can visit any doctor, other health care professional, or hospital.

You remain eligible to receive the same Medicare benefits and you still have the right to use any doctor, other health care professional, or hospital that accepts Medicare, at any time. If you have questions, feel free to ask your doctor or other health care professional, call Equality Health Direct at 1-888-696-1122 or call Medicare at 1-800-MEDICARE (1-800-633-4227) to ask about DCEs. TTY users should call 1-877-486-2048.

Selecting a doctor or other health care professional through Medicare.gov is your choice AND you can change your mind. If you choose to select a doctor or other health care professional through Medicare.gov you should do so yourself. No one else should complete this for you.

No one is allowed to attempt to influence your choice to select a doctor or other health care professional through Medicare.gov by offering or withholding anything in exchange for you to make a selection online. If you feel pressured to make a selection online, please call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

Please call Equality Health Direct or update your online selection if you change your mind later about whether you consider our practice to be the main doctor or other health care professional you see or the main place you go for routine care.

Frequently Asked Questions

Who provides clinical care for patients of Equality Health Direct?

Medicare beneficiaries receive care from their primary care provider. Equality Health Direct also provides access to specialists and ancillary services that support Equality Health Direct primary care providers. Patients may choose to see specialists and use ancillary services to meet their healthcare needs and need not see providers participating in Equality Health Direct. Equality Health also offers the services of our skilled and compassionate Care Team, which includes bilingual Registered Nurses, Social Workers, Community Health Workers, Chaplains and Care Specialists.

What is the benefit of having a primary care provider that participates in Equality Health Direct?

Medicare beneficiaries benefit from having their primary care provider participate in Equality Health Direct because they retain the ability to choose specialists and ancillary services as part of their care plan. Patients also benefit from improved collaboration and care through an integrated Care Team.

Where can you find for more information?

If you wish to know more about CMS’ Global and Professional Direct Contracting, go to https://innovation.cms.gov/innovation-models/gpdc-model.