Provider Directory Aetna Medicare SM Plan (HMO)

Size: px
Start display at page:

Download "Provider Directory Aetna Medicare SM Plan (HMO)"

Transcription

1 AETNA MEDICARE Provider Directy Aetna Medicare SM Plan (HMO) This directy was updated on 08/29/2014. F me recent infmation other questions, please contact us at f TTY users, 711, 8 a.m. to 8 p.m., seven days a week, visit Este directio fue actualizado el 08/29/2014. Para obtener infmación más reciente u otras preguntas, comuníquese con nosotros al o para usuarios de TTY al 711, de 8 a.m. a 8 p.m., los siete días de la semana o visite el sitio de Internet Y0001_1080_3452_FINAL_64 Approved 8/ (8/14) COLLIN/DALLAS/ DENTON TX_RX Q

2

3 Table of Contents Aetna Medicare Plan infmation...iii Map(s) of service areas...iv Section 1 - Introduction...V Spanish version...vii Hospitals and skilled nursing facilities (SNF)...4 Hospital affiliation key...3 Primary care physicians...14 Obstetricians and gynecologists / women's health specialists...34 Specialists...44 Behavial health providers Eye care providers Primary care dentists Specialty dentists Pharmacies Other participating providers Institutes of Excellence transplant facilities Nationally contracted walk-in clinics Index of providers speaking additional languages Index of providers Disclaimers...Inside back cover I

4

5 Aetna Medicare SM Plan (HMO) Provider Directy Individual plan names: Aetna Medicare SM Prime Plan (HMO) This directy provides a list of Aetna Medicare Plan (HMO) netwk providers. This directy is f Collin, Dallas and Denton Counties, Texas. The service area map(s) on the next page(s) show the service area counties included in this directy. This directy includes the Spanish translated version. A Spanish version of the Introduction follows the English version. Spanish translation can also be found throughout the directy and on the tabs of each section. This directy is current as of 08/29/2014. Some netwk providers may have been added removed from our netwk after this directy was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date infmation about Aetna Medicare Plan (HMO) netwk providers in your area, you can call our Member Services department at (TTY: 711), 8 a.m. to 8 p.m., seven days a week. Or visit Aetna Medicare is an HMO plan with a Medicare contract. Enrollment in Aetna Medicare depends on contract renewal. This infmation is available f free in other languages. Please call our Member Services number at (TTY: 711). Hours of operation: 8 a.m. to 8 p.m., seven days a week. Esta infmación está disponible en otros idiomas de fma gratuita. P fav llame nuestro número de Servicios al Miembro al (TTY: 711). Hario de atención: de 8 a.m. a 8 p.m., los siete días de la semana. III

6 Aetna Medicare SM Plan (HMO) Individual Service Area Map This map represents the counties in which Aetna Medicare Individual Plans (HMO) are offered. Denton Collin Dallas Aetna Medicare Individual Plan (HMO) Questions? Call toll-free Existing Members: New Member Inquiries: TTY: 711 (Hearing-impaired only) IV

7 Section 1 Introduction This directy provides a list of Aetna Medicare Plan (HMO) netwk providers. To get detailed infmation about your health care coverage, please see your Evidence of Coverage. If you are enrolled in our Aetna Medicare Prime Plan (HMO), you have access to a netwk of local providers who we wk closely with to codinate your care. If you have the Prime HMO plan, you will have to pay on your own f out-of-netwk care. If you need urgent emergency care, get outof-area kidney dialysis, we ll cover it. Even if the provider isn t part of the Prime netwk. If you are enrolled in a standard Aetna Medicare Plan (HMO), you will have to choose one of our netwk providers who are listed in this directy to be your primary care {physician/ provider} (PCP). The term PCP will be used throughout this directy. Generally, you must get your health care coverage from your PCP. Your PCP will issue referrals to participating specialists and facilities f certain services. F some services, your PCP is required to obtain pri authization from Aetna Medicare. Except in an emergency and f certain direct access services, you will need to obtain a referral from your PCP befe seeking covered non-emergency specialty hospital care. You must use netwk providers except in emergency urgent care situations f out-of-area renal dialysis. If you obtain routine care from out-of-netwk providers neither Medicare n Aetna Medicare will be responsible f the costs. The HMO netwk providers listed in this directy have agreed to provide you with your health care, vision, hearing and dental coverage. You may go to any of our netwk providers listed in this directy; however, some services may require a referral. If you have been going to one netwk provider, you are not required to continue going to that same provider. In some cases, you may get covered services from out-of-netwk providers. In cases where non-contracting providers submit a bill directly to you, you should not pay the bill, but should submit it to Aetna Medicare f processing and determination of your cost-sharing amount, if any. Certain netwk health care services, such as hospitalization outpatient surgery, require pri authization from Aetna Medicare. This means the service must be approved by Aetna Medicare befe it will be covered under the plan. Check your Evidence of Coverage f a list of services that require this approval. When you are to obtain services requiring pri authization from a netwk provider, the provider is responsible to obtain pri authization from Aetna Medicare befe treatment. If your plan includes an out-ofnetwk benefit and you decide to receive covered services from an out-of-netwk provider, contact Aetna Medicare f pri authization of those services. Emergency care If you need emergency care, you are covered 24 hours a day, 7 days a week, anywhere in the wld. Whether you are in out of an Aetna Medicare service area, we simply ask that you follow the guidelines below when you believe you need emergency care. Call the local emergency hotline (f example, 911) go to the nearest emergency facility. Notify your PCP as soon as possible after receiving treatment. Or if a delay would not be harmful to your health, call your PCP. If you are admitted to an inpatient facility, you, a family member friend on your behalf should notify your PCP Aetna Medicare as soon as possible. V

8 If you are traveling outside of the Aetna Medicare Plan (HMO) service area, you are covered f emergency and urgently needed care. Emergency care can always be obtained in out of the service area from the nearest available provider. When in the netwk service area, HMO plan members must use plan providers f urgent care unless the providers are not available. When out of the service area, urgent care may be obtained from the first available provider. Urgent care may be obtained from a private practice physician, a walk-in clinic, an urgent care center an emergency facility. We will review the infmation submitted to us by the provider who supplied your care. If the nature of the urgent emergency problem does not qualify f coverage, you may have to provide us with additional infmation. Follow-up care after emergencies All follow-up care should be codinated by your PCP. F HMO plans, follow-up care with out-ofnetwk providers may only be covered with a referral from your PCP and pri authization from Aetna. Whether you were treated inside outside your Aetna Medicare service area, if your plan requires referrals, you must obtain a referral befe any follow-up care can be covered. If your plan does not require referrals you should contact our Member Services department at (TTY: 711) befe care is received at out-of-netwk facilities. Suture removal, cast removal, x rays and clinic and emergency room revisits are some examples of follow-up care. How do you find Aetna Medicare Plan (HMO) providers in your area? To find a plan provider near your home, look under the plan provider section of your choice (f example, Primary Care Physicians ). The county and city are listed alphabetically in each plan provider section. You will also find listings in this directy f hospitals, skilled nursing facilities, specialists, behavial health providers, and other providers. As an Aetna Medicare member, you can easily link to our online provider directy to locate physicians other health care professionals in your area. Take charge of your health with help from Aetna Medicare If you have questions about your Aetna Medicare Plan (HMO) require assistance in selecting a PCP, just call our Member Services department at (TTY: 711), 8 a.m. to 8 p.m., seven days a week. Or visit What is the service area f the Aetna Medicare Plan (HMO)? The counties in our netwk service area are listed below. Individual service area counties: See service area map at the front of this directy f product detail. Collin, Dallas and Denton VI

9 Índice Infmación del plan de Aetna Medicare...IX Mapas del área de servicio...x Sección 1 Introducción...XI Hospitales y establecimientos de enfermería especializada (SNF)...4 Clave de afiliación hospitalaria...3 Proveedes de atención primaria...14 Obstetras y ginecólogos / especialistas para la salud de la mujer...34 Especialistas...44 Proveedes de la salud del comptamiento Proveedes de la vista Dentistas de atención primaria Dentistas especialistas Farmacias Otros proveedes que pertenecen a la red Centros de trasplante de los Institutes of Excellence (Institutos de Excelencia) Clínicas de atención sin citas contratadas a nivel nacional Índice de proveedes que hablan idiomas adicionales Índice de proveedes Descargos de responsabilidad...interi de contracubierta Y0001_1080_3452sp_FINAL_64 Approved 8/2014 VII

10

11 Directio de proveedes del Plan (HMO) de Aetna Medicare SM Nombres de planes individuales: Plan (HMO) Prime de Aetna Medicare SM Este directio propciona una lista de proveedes que pertenecen a la red del Plan (HMO) de Aetna Medicare. Este directio es para los condados de Collin, Dallas y Denton, Texas. El mapa de área de servicio en las páginas siguientes muestran los condados del área de servicio incluidos en este directio. Este directio incluye la versión en español. Una versión en español de la Introducción sigue la versión en inglés. Traducción en español también se puede encontrar en todo el directio y en las pestañas de cada sección. Este directio es válido al 08/29/2014. Algunos proveedes de la red se pueden haber agregado o retirado de nuestra red después que este directio fue impreso. No garantizamos que cada proveed sigue aceptando nuevos miembros. Para obtener infmación actual sobre los proveedes que pertenecen a la red del Plan (HMO) de Aetna Medicare en su área, puede llamar nuestro departamento de Servicios al Miembro al (TTY: 711), de 8 a.m. a 8 p.m., los siete días de la semana. O visitar el sitio de Internet Aetna Medicare es un plan HMO con un contrato de Medicare. La inscripción en Aetna Medicare depende de la renovación del contrato. Esta infmación está disponible en otros idiomas de fma gratuita. P fav llame nuestro número de Servicios al Miembro al (TTY: 711). Hario de atención: de 8 a.m. a 8 p.m., los siete días de la semana. Y0001_1080_3452sp_FINAL_64 Approved 8/2014 IX

12 Mapa del área de servicio del Plan individual (HMO) de Aetna Medicare SM Este mapa representa a los condados en los que se ofrecen Planes individuales (HMO) de Aetna Medicare. Denton Collin Dallas Plan individual (HMO) de Aetna Medicare Tiene preguntas? Llame sin cargo X Miembros actuales: TTY: 711 (Sólo para personas con impedimentos auditivos) Preguntas de nuevos miembros: Y0001_1080_3452sp_FINAL_64 Approved 8/2014

13 Sección 1: Introducción Este directio propciona una lista de proveedes que pertenecen a la red del Plan (HMO) de Aetna Medicare. Para obtener infmación detallada sobre su cobertura médica, p fav consulte la Evidencia de Cobertura. Si está inscrito en nuestro Plan Prime (HMO) de Aetna Medicare, usted tiene acceso a una red de proveedes locales con los que trabajamos muy de cerca para codinar su atención. Si tiene el Plan Prime HMO, usted tendrá que pagar p su cuenta para la atención fuera de la red. Si necesita atención médica de urgencia o de emergencia, o recibe diálisis renal fuera del área, lo cubriremos. Incluso si el proveed no fma parte de la red Prime. Si está inscrito en un Plan (HMO) estándar de Aetna Medicare, tendrá que seleccionar uno de nuestros proveedes que pertenecen a la red que aparecen en este directio como su proveed de atención primaria (PCP). El término PCP se usará en todo el directio. P lo general, debe obtener su cobertura médica de su PCP. Su PCP le dará referencias médicas a los especialistas y centros médicos que pertenecen a la red para la propción de ciertos servicios. En el caso de algunos servicios, su PCP deberá obtener autización previa de Aetna Medicare. Excepto en caso de emergencia y para ciertos servicios de acceso directo, usted tendrá que obtener una referencia médica de su PCP antes de buscar atención médica cubierta de especialidad u hospitalaria que no sea de emergencia. Usted debe usar proveedes de la red excepto en casos de emergencia o de urgencia, o de diálisis renal fuera del área. Si obtiene atención de rutina de proveedes que no pertenecen a la red, ni Medicare ni Aetna Medicare se responsabilizarán p los costos. Los proveedes de la red HMO enumerados en este directio han acdado propcionarle su cobertura de atención médica, de la vista, audición y dental. Usted puede ir a cualquiera de nuestros proveedes de la red enumerados en este directio; sin embargo, algunos servicios podrían requerir una referencia médica. Si ha estado yendo Y0001_1080_3452sp_FINAL_64 Approved 8/2014 a un proveed de la red, no tiene la obligación de continuar atendiéndose con el mismo proveed. En algunos casos, usted puede obtener servicios cubiertos de proveedes fuera de la red. En los casos en que los proveedes sin contrato le presentan una factura directamente a usted, usted no debe pagar la factura sino presentarla a Aetna Medicare para el procesamiento y la determinación de su monto de costo compartido, si la hubiese. Ciertos servicios de atención médica de la red, como la hospitalización o cirugía ambulatia, requieren la autización previa de Aetna Medicare. Esto significa que el servicio debe ser aprobado p Aetna Medicare antes de ser cubierto p el plan. Consulte su Evidencia de Cobertura para obtener una lista de los servicios que requieren esta aprobación. Cuando usted obtenga servicios que requieren autización previa de un proveed de la red, el proveed es responsable de obtener la autización previa de Aetna Medicare antes del tratamiento. Si su plan incluye un beneficio fuera de la red y usted decide recibir los servicios cubiertos de un proveed fuera de la red, comuníquese con Aetna Medicare para recibir autización previa de esos servicios. Atención médica de emergencia Si necesita atención médica de emergencia, usted está cubierto las 24 has del día, los 7 días de la semana, en cualquier lugar del mundo. Si usted está dentro o fuera de un área de servicio de Aetna Medicare, simplemente le pedimos que siga las siguientes pautas si piensa que necesita atención médica de emergencia. Llame a la línea directa local de emergencia (p ejemplo, 911) o vaya al centro médico de emergencia más cercano. Notifique a su PCP lo antes posible después de recibir tratamiento. O si la dema no perjudicaría su salud, llame a su PCP. Si es admitido en un centro médico, usted, un familiar o amigo en su nombre debe notificar a su PCP o a Aetna Medicare tan pronto como sea posible. XI

14 Si está viajando fuera del área de servicio del Plan (HMO) de Aetna Medicare, usted está cubierto en caso de atención médica de emergencia y de urgencia. La atención médica de emergencia siempre se puede obtener dentro o fuera del área de servicio del proveed disponible más cercano. Cuando en el área de servicio de la red, los miembros del plan HMO deben utilizar los proveedes del plan para recibir atención médica de urgencia a menos que los proveedes no están disponibles. Cuando fuera del área de servicio, se puede obtener atención médica de urgencia del primer proveed disponible. La atención médica de urgencia puede obtenerse de un médico de práctica privada, una clínica sin citas, un centro médico de urgencias o un centro médico de emergencia. Revisaremos la infmación que nos presenta el proveed que suministró su atención. Si la naturaleza del problema urgente o de emergencia no cumple los requisitos para recibir cobertura, probablemente sea necesario propcionarnos infmación adicional. Seguimiento médico después de emergencias Todo seguimiento médico debe ser codinado p su PCP. Para los planes HMO, el seguimiento médico con proveedes fuera de la red sólo puede estar cubierto si cuenta con una referencia médica de su PCP y autización previa de Aetna. Sin imptar si recibió tratamiento dentro o fuera del área de servicio de Aetna Medicare, si su plan requiere referencias médicas, usted debe obtener la referencia médica antes de que se pueda cubrir ningún seguimiento médico. Si su plan no requiere referencias médicas, debe contactar nuestro departamento de Servicios al Miembro al (TTY: 711) antes de recibir atención en centros médicos fuera de la red. La extracción de puntos, de yeso, las radiografías y visitas de seguimiento a la clínica y sala de emergencia son ejemplos de seguimiento médico. Cuál es el área de servicio para el Plan (HMO) de Aetna Medicare? Los condados en nuestra área de servicio de la red aparecen en la siguiente lista. Condados del área de servicio individual: Vea el mapa del área de servicio en la parte de adelante de este directio para obtener los detalles de productos. Collin, Dallas y Denton Cómo se encuentra los proveedes del Plan (HMO) de Aetna Medicare en su área? Para buscar un proveed del plan cerca de su hogar, consulte la sección de proveedes del plan de su elección (p ejemplo, proveedes de atención primaria ). El condado y la ciudad están listados en den alfabético en cada sección de proveed del plan. También encontrará listados en este directio para hospitales, establecimientos de enfermería especializada, médicos especialistas, proveedes de la salud del comptamiento y otros proveedes. Como miembro de Aetna Medicare, puede vincular fácilmente a nuestro directio de proveedes en Internet para localizar a los médicos u otros profesionales de la salud en su área. Tome control de su salud con la ayuda de Aetna Medicare: Si tiene preguntas sobre su Plan (HMO) de Aetna Medicare o necesita asistencia en seleccionar un PCP, simplemente llame nuestro departamento de Servicios al Miembro al (TTY: 711), de 8 a.m. a 8 p.m., los siete días de la semana. O visite el sitio de Internet XII Y0001_1080_3452sp_FINAL_64 Approved 8/2014

15 Hospitals and skilled nursing facilities (SNF) F transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities section of this directy. Facilities are only considered participating f transplants if listed in that section of the directy. To review patient safety results f hospitals in your area, members should go to and click on Hospital Survey Results. If you do not have Internet access if you wish to speak with someone, you can call our Member Services department at (TTY: 711), 8 a.m. to 8 p.m., seven days a week. Any member who visits Aetna s website at can link to our online provider directy and then to The Leapfrog Group. The Leapfrog Group is a group of Ftune 500 companies and other large private and public health care purchasers that wk together to advocate specific patient safety practices. Visit f me infmation. Total Number = 147

16 Hospitales y establecimientos de enfermería especializada Para trasplantes y servicios relacionados a los trasplantes, p fav consulte la sección de Centros de trasplante de los Institutos de Excelencia de este directio. Los centros médicos solo se consideran participantes en el caso de trasplantes si están listados en esa sección del directio. Para revisar los resultados de seguridad del paciente en los hospitales en su área, los miembros deben ir al sitio de Internet y hacer clic en Hospital Survey Results. Si no tiene acceso a Internet o desea hablar con alguien, usted puede llamar nuestro departamento de Servicios al Miembro al (TTY: 711), de 8 a.m. a 8 p.m., los siete días de la semana. Todo miembro que visita el sitio de Internet de Aetna en puede vincular a nuestro directio de proveedes en Internet y luego a The Leapfrog Group. The Leapfrog Group es un grupo de compañías de Ftune 500 y otros grandes comprades de atención médica públicos y privados que trabajan en conjunto para promover las prácticas de seguridad del paciente específicas. Visite el sitio de Internet para más infmación. Número total = 147

17 Hospital affiliation key You can use the hospital affiliation key to find the hospital(s) where a doct has an affiliation. First, refer to the following sections of this directy: Primary care physicians, obstetricians and gynecologists/ women s health specialists, specialists and eye care providers. When you find a doct, look to see if there is a hospital affiliation description with the doct s listing. As an example: Hospital Affiliation: 1, 2, 3. The number(s) shown represent the hospitals you can find in the key below. Puede utilizar la clave de afiliación hospitalaria para buscar el hospital en que un médico tiene una afiliación. En primer lugar, consulte las siguientes secciones de este directio: Proveedes de atención primaria, obstetras y ginecólogos/especialistas de salud para la mujer, especialistas y proveedes de la vista. Cuando encuentra un médico, mira a ver si hay una descripción de afiliación hospitalaria con el listado del médico. A modo de ejemplo: Afiliación hospitalaria: 1, 2, 3. El/los número/s que se muestran representan los hospitales que se pueden encontrar en la clave abajo. Key Hospital Name Clave Nombre del hospital/centro médico 1 Dallas Regional Medical Center - Galloway Campus 2 Denton Regional Medical Center - HCA Affiliate 3 Las Colinas Medical Center - HCA Affiliate 4 Medical Center of Lewisville - HCA Affiliate 5 Medical Center of McKinney - HCA Affiliate 6 Medical Center of Plano - HCA Affiliate 7 Medical City Dallas Hospital - HCA Affiliate 8 Methodist Charlton Medical Center 9 Methodist Dallas Medical Center 10 Methodist Hospital f Surgery 11 Methodist Rehabilitation Hospital 12 Methodist Richardson Medical Center 13 Methodist McKinney Hospital Key Hospital Name Clave Nombre del hospital/centro médico Hospital affiliation key / Clave de afiliación hospitalaria 3

18 Hospitals and skilled nursing facilities (SNF) TEXAS HOSPITALS COLLIN McKinney Medical Center of McKinney HCA Affiliate 4500 Medical Center McKinney, TX (972) Methodist McKinney Hospital 8000 West El Dado Pkwy. McKinney, TX (972) COLLIN Plano Medical Center of Plano - HCA Affiliate 3901 West 15th Street Plano, TX (972) COLLIN Richardson Methodist Richardson Medical Center 2805 East President Gege Bush Hwy. Richardson, TX (469) DALLAS Addison Methodist Hospital f Surgery Dallas Pkwy. Addison, TX (469) DALLAS Dallas Medical City Dallas Hospital HCA Affiliate 7777 Fest Lane (972) Methodist Charlton Medical Center 3500 West Wheatland Dallas, TX (214) Methodist Dallas Medical Center 1441 Nth Beckley Dallas, TX (214) Methodist Rehabilitation Hospital 3020 West Wheatland Dallas, TX (972) DALLAS Irving Las Colinas Medical Center HCA Affiliate 6800 Nth MacArthur Blvd. Irving, TX (972) DALLAS Mesquite Dallas Regional Medical Center - Galloway Campus 1011 Nth Galloway Mesquite, TX (214) DALLAS Richardson Methodist Richardson Medical Center 401 West Campbell Richardson, TX (972) DENTON Denton Denton Regional Medical Center - HCA Affiliate 3535 South Interstate 35 East Hwy. Denton, TX (940) DENTON Lewisville Medical Center of Lewisville HCA Affiliate 500 West Main Street Lewisville, TX (972) SKILLED NURSING FACILITIES COLLIN Allen Management and Netwk Services, L.L.C.- Texas Victia Gardens of Allen 310 South Jupiter Allen, TX (972) Management and Netwk Services, L.L.C.- Texas The Belmont at Twin Creeks 999 Raintree Circle Allen, TX (800) F transplant and transplant-related services, please refer to the Institutes of Excellence transplant facilities section of this directy. Facilities are only considered participating f transplants if listed in that section of the directy. Para trasplantes y servicios relacionados a los trasplantes, p fav consulte la sección de centros de trasplante de los Institutos de Excelencia de este directio. Los centros solo se consideran participantes en el caso de trasplantes si están listados en esa sección del directio.

19 Hospitals and skilled nursing facilities (SNF) COLLIN Frisco Management and Netwk Services, L.L.C.- Texas Stonemere Rehabiliation Center Lebanon Frisco, TX (800) Management and Netwk Services, L.L.C.- Texas Victia Gardens of Frisco Rolater Frisco, TX (972) COLLIN Plano Management and Netwk Services, L.L.C.- Texas The Park in Plano 3208 Thunderbird Lane Plano, TX (800) Management and Netwk Services, L.L.C.- Texas Collinwood Care Center 3100 South Rigsbee Plano, TX (800) Management and Netwk Services, L.L.C.- Texas Life Care Center of Plano 3800 West Park Blvd. Plano, TX (800) COLLIN Wylie Management and Netwk Services, L.L.C.- Texas Hillcrest Nursing and Rehabilitatio 300 East Brown Street Wylie, TX (800) Management and Netwk Services, L.L.C.- Texas Founders Plaza Nursing and Rehab 721 South Hwy. 78 Wylie, TX (800) DALLAS Balch Springs Management and Netwk Services, L.L.C.- Texas Balch Springs Nursing Home 4200 Shepherd Lane Balch Springs, TX (800) DALLAS Carrollton Management and Netwk Services, L.L.C.- Texas 2245 Marsh Lane Carrollton, TX (800) Management and Netwk Services, L.L.C.- Texas The Madison on Marsh 2245 Marsh Lane Carrollton, TX (800) DALLAS Cedar Hill Management and Netwk Services, L.L.C.- Texas 224 West Pleasant Run Cedar Hill, TX (800) Management and Netwk Services, L.L.C.- Texas Crestview Court 224 West Pleasant Run Cedar Hill, TX (800) DALLAS Dallas Management and Netwk Services, L.L.C.- Texas CC Young Memial Home 4829 West Lawther Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas South Dallas Nursing and Rehabilita 3808 South Central Expressway Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas The Villa at Mountain View 2918 Duncanville Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas 381 Casa Linda Plaza Suite 427 Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas The Villa at Mountain View 2918 Ducanville Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas Docts Healthcare and Rehab Center 9009 White Rock Trail Dallas, TX (800) F transplant and transplant-related services, please refer to the Institutes of Excellence transplant facilities section of this directy. Facilities are only considered participating f transplants if listed in that section of the directy. Para trasplantes y servicios relacionados a los trasplantes, p fav consulte la sección de centros de trasplante de los Institutos de Excelencia de este directio. Los centros solo se consideran participantes en el caso de trasplantes si están listados en esa sección del directio. 5 Hospitals and skilled nursing facilities (SNF) / Hospitales y establecimientos de enfermería especializada

20 Hospitals and skilled nursing facilities (SNF) Management and Netwk Services, L.L.C.- Texas Brentwood Place Four 3505 South Buckner Blvd. Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas Treemont Healthcare & Rehab Center 5550 Harvest Hill (972) Management and Netwk Services, L.L.C.- Texas The Plaza at Edgemere Health Care 8502 Edgemere Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas Lennwood Nursing & Rehabilitation 8017 West Virginia Dallas, TX (800) Management and Netwk Services, L.L.C.- Texas The Renaissance at Kessler Park 2428 Bahama Dallas, TX (214) Management and Netwk Services, L.L.C.- Texas Juliette Fowler Communities 1260 Abrams Dallas, TX (800) Mancare ManCare Health Svcs Dallas 3326 Burgoyne Dallas, TX (214) DALLAS Desoto Williamsburg Village Healthcare Campus 940 Yk Desoto, TX (972) DALLAS Duncanville Management and Netwk Services, L.L.C.- Texas Larenwood Nursing and Rehab 330 West Camp Wisdom Duncanville, TX (800) DALLAS Garland Management and Netwk Services, L.L.C.- Texas Pleasant Valley Healthcare and Reha 1525 Pleasant Valley Garland, TX (800) Management and Netwk Services, L.L.C.- Texas Winters Park Nursing & Rehabilitati 3737 Nth Garland Garland, TX (972) Management and Netwk Services, L.L.C.- Texas Garland Nursing & Rehab LP 321 Nth Shiloh Garland, TX (800) Management and Netwk Services, L.L.C.- Texas Advanced Health & Rehab of Garland 505 West Centerville Garland, TX (800) DALLAS Grand Prairie Management and Netwk Services, L.L.C.- Texas Metroplex Nursing and Rehab LP 658 Southwest 3rd Street Grand Prairie, TX (800) DALLAS Irving Management and Netwk Services, L.L.C.- Texas Avante Rehabilitation Center 225 Nth Sowers Irving, TX (800) Management and Netwk Services, L.L.C.- Texas Irving Nursing and Rehabiliation LP 619 Nth Britain Irving, TX (800) DALLAS Lancaster Management and Netwk Services, L.L.C.- Texas Winds Gardens 2535 West Pleasant Run Lancaster, TX (800) F transplant and transplant-related services, please refer to the Institutes of Excellence transplant facilities section of this directy. Facilities are only considered participating f transplants if listed in that section of the directy. Para trasplantes y servicios relacionados a los trasplantes, p fav consulte la sección de centros de trasplante de los Institutos de Excelencia de este directio. Los centros solo se consideran participantes en el caso de trasplantes si están listados en esa sección del directio.

Concerts for Seniors September Schedule

Concerts for Seniors September Schedule Concerts for Seniors September Schedule Tuesday, September 1, 2015 All concert locations and times are subject to change. Please call Texas Winds at 972-386-8380 to confirm dates and times. 9:50 am Paul

More information

GRAND PRAIRIE INDEPENDENT SCHOOL DISTRICT 504 WORKERS COMPENSATION MEDICAL CARE PROGRAM

GRAND PRAIRIE INDEPENDENT SCHOOL DISTRICT 504 WORKERS COMPENSATION MEDICAL CARE PROGRAM 504 WORKERS COMPENSATION MEDICAL CARE PROGRAM Chapter 504 of the Texas Labor Code allows political subdivisions to create their own Workers Compensation Medical Care Program to provide care for its employees.

More information

Patient-Centered ACO WELCOME

Patient-Centered ACO WELCOME Patient-Centered ACO WELCOME Methodist Health System $1.17 Billion in net revenue in 2014. Provided more than $135.8 million in unreimbursed charity care in 2014, 11.6% of net revenue. 471,376 patient

More information

INFORMATIONAL NOTICE

INFORMATIONAL NOTICE Rod R. Blagojevich, Governor Barry S. Maram, Director 201 South Grand Avenue East Telephone: (217) 782-3303 Springfield, Illinois 62763-0002 TTY: (800) 526-5812 DATE: March 4, 2008 INFORMATIONAL NOTICE

More information

Memorial Health Care System Catholic Health Initiatives Financial Assistance Application Form

Memorial Health Care System Catholic Health Initiatives Financial Assistance Application Form B Please note - Memorial Hospital may access external validation resources to assist in determining whether a full application for assistance is required. Financial Assistance Application 1) Patient Name

More information

Medicaid Prepaid Mental Health Plan

Medicaid Prepaid Mental Health Plan Medicaid Prepaid Mental Health Plan Prepaid Mental Health Services provided by Wasatch Mental Health Prepaid Substance Abuse Services provided by Utah County Department of Drug and Alcohol Prevention and

More information

Summary of Benefits. Blue Cross Community Integrated Care Plan (ICP) SM. January 1, 2015 - December 31, 2015

Summary of Benefits. Blue Cross Community Integrated Care Plan (ICP) SM. January 1, 2015 - December 31, 2015 Blue Cross Community Integrated Care Plan (ICP) SM Summary of Benefits January 1, 2015 - December 31, 2015 Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual

More information

Health First Medicare Plans Dental Directory

Health First Medicare Plans Dental Directory Consultorios dentales de la red DeltaCare USA Health First Medicare Plans Dental Directory for Classic (HMO-POS) and Employer Group Plans About our Dental Network The Classic (HMO-POS) and Employer Group

More information

EXHIBIT B EARLY VOTING POLLING LOCATIONS LUGARES DE VOTACION CON ANTICIPACION DATES AND TIMES OF EARLY VOTING FOR THE MAY 14, 2011, JOINT ELECTION

EXHIBIT B EARLY VOTING POLLING LOCATIONS LUGARES DE VOTACION CON ANTICIPACION DATES AND TIMES OF EARLY VOTING FOR THE MAY 14, 2011, JOINT ELECTION EXHIBIT B EARLY VOTING POLLING LOCATIONS Addison Fire Station 4798 Airport Pkwy Addison, Texas 75240 Audelia Road Library 10045 Audelia Road Dallas, Texas 75238 Balch Springs City Hall 3117 Hickory Tree

More information

Important information about our provider directory

Important information about our provider directory Important information about our provider directory This online directory provides a list of Aetna Medicare Plan (HMO) (PPO) network providers. To get detailed information about your health care coverage,

More information

Manage your health care and health care spending

Manage your health care and health care spending Manage your health care and health care spending Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan You get a health insurance plan for coverage and a fund to help pay for it. Standard Medical

More information

Blue Cross Blue Shield of Arizona Advantage Plan Change Form

Blue Cross Blue Shield of Arizona Advantage Plan Change Form Blue Cross Blue Shield of Arizona Advantage Plan Change Form Date: Member Name: Member ID Number: I want to transfer from my current plan to the plan I have selected below. I understand that I will receive

More information

Behavioral Health Hospitals Master List. SAI = Substance Abuse Inpatient SAI/D = Substance Abuse Inpatient/Detox SAO = Substance Abuse Outpatient

Behavioral Health Hospitals Master List. SAI = Substance Abuse Inpatient SAI/D = Substance Abuse Inpatient/Detox SAO = Substance Abuse Outpatient *BCBS Accepted United Accepted NorthSTAR Accepted Behavioral Health Hospitals Master List MHI = Mental Health Inpatient MHO = Mental Health Outpatient SAI = Substance Abuse Inpatient SAI/D = Substance

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Rx Secure-Xtra (PDP) offered by Cigna-HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna Medicare Rx Secure-Xtra (PDP). Next year, there will

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 BlueCHiP for Medicare Plus (HMO) offered by Blue Cross & Blue Shield of Rhode Island Annual Notice of Changes for 2015 You are currently enrolled as a member of BlueCHiP for Medicare Plus. Next year, there

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 HMO Prime No Rx (Medicare Advantage HMO) offered by Tufts Health Plan Medicare Preferred Annual Notice of Changes for 2016 You are currently enrolled as a member of Tufts Medicare Preferred HMO Prime No

More information

Medicare Part D Creditable Coverage Notice Open Enrollment Active Carpenters

Medicare Part D Creditable Coverage Notice Open Enrollment Active Carpenters Medicare Part D Creditable Coverage Notice Open Enrollment Active Carpenters Important Notice from Southwest Carpenters Health and Welfare Trust about Prescription Drug Coverage for People with Medicare

More information

TEXAS HIGHER EDUCATION REGIONAL COUNCIL TCCD OFF-CAMPUS INSTRUCTIONAL PLAN FOR 2015-2016

TEXAS HIGHER EDUCATION REGIONAL COUNCIL TCCD OFF-CAMPUS INSTRUCTIONAL PLAN FOR 2015-2016 Institution Name: Tarrant County Regional Council Name: Region 3 Metroplex Higher Education Regional Council MHERC Contact Person: Sheryl Harris, Ed.D. Email Address: Sheryl.Harris@tccd.edu Phone: 817.515.5229

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna Medicare Rx Secure (PDP). Next year, there will be some

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 Care N Care Health Plan I MA-Only (PPO) offered by Care N Care Insurance Company, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Care N Care Health Plan I MA-Only. Next

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring TotalCare (HMO SNP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring TotalCare (HMO SNP). Next year, there

More information

BALANCE DUE 10/25/2007 $500.00 STATEMENT DATE BALANCE DUE $500.00 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT

BALANCE DUE 10/25/2007 $500.00 STATEMENT DATE BALANCE DUE $500.00 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT R E M I T T O : IF PAYING BY MASTERCARD, DISCOVER, VISA, OR AMERICAN EXPRESS, FILL OUT BELOW: XYZ Orthopaedics STATEMENT DATE BALANCE DUE 10/25/2007 $500.00 BALANCE DUE $500.00 ACCOUNT NUMBER 1111122222

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure (PDP). Next year, there will be

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna-HealthSpring Premier (HMO-POS) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Premier (HMO-POS). Next year, there will

More information

Evidence of Coverage

Evidence of Coverage Blue Cross Medicare Advantage Basic (HMO) SM Blue Cross Medicare Advantage Basic Plus (HMO-POS) SM and Blue Cross Medicare Advantage Premier Plus (HMO-POS) SM Evidence of Coverage January 1, 2015 December

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure Extra (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure Xtra (PDP). Next year, there

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2015 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Senior Advantage (HMO) This booklet gives you

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure (PDP). Next year, there will be

More information

PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC

PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC PLAN FEATURES Deductible (per calendar year) $0 Deductible Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Deductible is NOT applicable to Hearing Aid Reimbursement,

More information

EVIDENCE OF COVERAGE. Blue Medicare Advantage Premier (HMO)

EVIDENCE OF COVERAGE. Blue Medicare Advantage Premier (HMO) 2015 EVIDENCE OF COVERAGE Blue Medicare Advantage Premier (HMO) January 1 December 31, 2015 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of

More information

TACTICAL CALL SIGN COUNTY FACILITY NAME (CITY) GROUP

TACTICAL CALL SIGN COUNTY FACILITY NAME (CITY) GROUP Check-in Time: 1000-1030 Frequency: 145.490 MUENSTER COOKE MUENSTER MEMORIAL HOSPITAL NORTH TEXAS MEDICAL COOKE NORTH TEXAS MEDICAL CENTER (GAINESVILLE) ATRIUM DENTON ATRIUM MEDICAL CENTER AT CORINTH BAYLOR

More information

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan 32.02.301.1

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2015 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan North

More information

San Diego County. SCAN Health Plan. Evidence of Coverage. Scripps Signature offered by SCAN Health Plan (HMO)

San Diego County. SCAN Health Plan. Evidence of Coverage. Scripps Signature offered by SCAN Health Plan (HMO) San Diego County 2016 SCAN Health Plan Evidence of Coverage Scripps Signature offered by SCAN Health Plan (HMO) Y0057_SCAN_9180_2015F File & Use Accepted G9308 09/15 16C-EOC701 January 1 December 31,

More information

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 Part I. Texas Department of Insurance Page 1 of 10 SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 1. INTRODUCTION. The commissioner of insurance adopts amendments

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure Extra (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure Xtra (PDP). Next year, there

More information

Articles. Articles. Introduction. Introduction. Information on e-file. Information on Free File. Media Tools

Articles. Articles. Introduction. Introduction. Information on e-file. Information on Free File. Media Tools Free File Tool Electronic Kit Tax Filing Resource Guide Electronic IRS is the portal to the many online options available on www.irs.gov. The IRS wants to make it easier for you to help your members and

More information

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 Part I. Texas Department of Insurance Page 1 of 11 SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 1. INTRODUCTION. The Texas Department of Insurance proposes

More information

Annual Notice of Change 2015

Annual Notice of Change 2015 Clear Touchstone Health Medicare Clear Plan Annual Notice of Change 2015 Bronx, Kings, New York, Queens, Richmond and Westchester Counties www.touchstoneh.com Y0064_H3327_THPSMK_2374 Accepted Touchstone

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna Medicare Rx Secure (PDP). Next year, there will be some

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Freedom Basic (PPO) Plan offered by Senior Care Plus Annual Notice of Changes for 2015 You are currently enrolled as a member of the Freedom Basic. Next year, there will be some changes to the plan s costs

More information

2015 Annual Notice of Change

2015 Annual Notice of Change 2015 Annual Notice of Change Colorado Access Advantage Peak Plan (HMO) COLORADO ACCESS ADVANTAGE PEAK PLAN (HMO) offered by Colorado Access Annual Notice of Changes for 2015 You are currently enrolled

More information

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan www.aetna.com

More information

Napa and Sonoma Counties

Napa and Sonoma Counties Napa and Sonoma Counties Benefit Highlights Napa and Sonoma Counties SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights Napa and Sonoma Counties Benefit Highlights

More information

AETNA BETTER HEALTH SM PREMIER PLAN Summary of Benefits

AETNA BETTER HEALTH SM PREMIER PLAN Summary of Benefits AETNA BETTER HEALTH SM PREMIER PLAN Summary of Benefits Aetna Better Health SM Premier Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Illinois Medicaid to provide

More information

You can end your membership in Aetna Better Health Premier Plan at any time.

You can end your membership in Aetna Better Health Premier Plan at any time. Aetna Better Health SM Premier Plan (Medicare-Medicaid Plan) offered by Aetna Annual Notice of Changes for 2016 You are currently enrolled as a member of Aetna Better Health Premier Plan. Next year, there

More information

Orange County Benefit Highlights. Orange County. SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights

Orange County Benefit Highlights. Orange County. SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights Orange County Benefit Highlights Orange County SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights Orange County Benefit Highlights Comprehensive Care SCAN CLASSIC

More information

SCAN Health Plan. 2015 Summary of Benefits

SCAN Health Plan. 2015 Summary of Benefits SCAN Health Plan 2015 Summary of Benefits Y0057_SCAN_8713_2014F File & Use Accepted 09032014 SCAN Classic (HMO) (a Medicare Advantage Health Maintenance Organization (HMO) offered by SCAN Health Plan with

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 1 Cigna-HealthSpring Preferred Plus HMO offered by Cigna HealthCare of Arizona, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred Plus. Next

More information

Important information about your health benefits

Important information about your health benefits Important information about your health benefits For these Innovation Health* medical benefits plans: EPO Plus, HSA EPO Plus, Open EPO Plus, HSA Open EPO Plus, HF Open EPO Plus, Open POS II, HF Open POS

More information

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan www.aetna.com

More information

Scripps Classic offered by SCAN Health Plan (HMO) Scripps Signature offered by SCAN Health Plan (HMO)

Scripps Classic offered by SCAN Health Plan (HMO) Scripps Signature offered by SCAN Health Plan (HMO) Scripps Classic offered by (HMO) Scripps Signature offered by (HMO) Evidence of Coverage for 2015 San Diego County Y0057_SCAN_8642_2014F File & Use Accepted 08272014 G8659 09/14 January 1 December 31,

More information

San Diego County. 2015 Benefit Highlights

San Diego County. 2015 Benefit Highlights San Diego County Scripps Classic offered by SCAN Health Plan(HMO) Scripps Signature offered by SCAN Health Plan (HMO) Scripps Heart First offered by SCAN Health Plan (HMO SNP) 2015 Benefit Highlights San

More information

Customer Name Address City, State Zip <INSERT DATE>

Customer Name Address City, State Zip <INSERT DATE> Customer Name Address City, State Zip Announcement to Customers: The transition is complete Dear < insert name>, has successfully completed transitioning your water utility account. Once

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 P.O. Box 52424, Phoenix, AZ 85072-2424 SilverScript Choice (PDP) offered by SilverScript Insurance Company Annual Notice of Changes for 2015 You are currently enrolled as a member of BlueRx Standard (PDP).

More information

Important information about your health benefits Texas

Important information about your health benefits Texas Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Important information about your health benefits Texas Elect Choice EPO plans www.aetna.com 00.28.332.1-TX (8/13)

More information

evidence of coverage

evidence of coverage evidence of coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Blue Shield 65 Plus (HMO) San Diego County January 1 December 31, 2015 H0504_14_138E CMS Accepted

More information

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan www.aetna.com

More information

Removing Language Barriers: Reaching Your Spanish Speaking Audience

Removing Language Barriers: Reaching Your Spanish Speaking Audience Removing Language Barriers: Reaching Your Spanish Speaking Audience Communications Tune Up Webinar Series MAXIMUS Center for Health Literacy Translation Services Group Mercedes Blanco Victoria Williams

More information

Evidence of Coverage:

Evidence of Coverage: Table of Contents January 1 December 31, 2015 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Mercy Care Advantage (HMO SNP) This booklet

More information

!nnual Notice of Changes for 2015

!nnual Notice of Changes for 2015 Central Health Medi-Medi Plan (HMO SNP) offered by Central Health Plan of California!nnual Notice of Changes for 2015 You are currently enrolled as a member of Central Health Medi-Medi Plan (HMO SNP).

More information

New Regulations For Texas Nonsubscribers Effective January 1, 2013

New Regulations For Texas Nonsubscribers Effective January 1, 2013 New Regulations For Texas Nonsubscribers Effective January 1, 2013 There are NEW RULES regarding certain forms nonsubscribers must file with the Texas Department of Insurance and Notices which must be

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 P.O. Box 52424, Phoenix, AZ 85072-2424 SilverScript Choice (PDP) offered by SilverScript Insurance Company Annual Notice of Changes for 2016 You are currently enrolled as a member of SilverScript Choice

More information

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan www.aetna.com

More information

TREATMENT FACILITIES FOR DRUG AND ALCOHOL ADDICTION

TREATMENT FACILITIES FOR DRUG AND ALCOHOL ADDICTION TREATMENT FACILITIES FOR DRUG AND ALCOHOL ADDICTION Where to Start Parkland Health and Hospital System Psychiatric Emergency Services Adult Alcohol and Drug Program Psychiatric Emergency Room 5201 Harry

More information

THE CITY OF HOPE Proposed Effective Date: 01-01-2012 HMO - California PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC.

THE CITY OF HOPE Proposed Effective Date: 01-01-2012 HMO - California PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) None Individual None Family $1,500 Individual $3,000 Family Member cost sharing for certain services may not apply

More information

FHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans

FHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans FHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans Annual Notice of Changes for 2016 You are currently enrolled as a member of FHCP s Medvantage plan. Next year, there will be some changes

More information

Health coverage plus a fund from your employer to help pay your costs

Health coverage plus a fund from your employer to help pay your costs MEDICAL PLAN Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan Health coverage plus a fund from your employer to help pay your costs Learn more about: > The advantages of choosing an HRA > How

More information

SCAN Health Plan. 2015 Summary of Benefits

SCAN Health Plan. 2015 Summary of Benefits SCAN Health Plan 2015 Summary of Benefits Y0057_SCAN_8712_2014F File & Use Accepted 09032014 ( a Medicare Advantage Health Maintenance Organization (HMO) offered by SCAN Health Plan with a Medicare contract)

More information

R&P Cultural Orientation Model Assessment, Spanish

R&P Cultural Orientation Model Assessment, Spanish R&P Cultural Orientation Model Assessment, Spanish Participant Name Case # Assessor Name Date CO Completed Date of Assessment Additional Notes Reminders for assessors: Locally- or culturally-relevant terms

More information

EVIDENCE OF COVERAGE Molina Medicare Options Plus HMO SNP

EVIDENCE OF COVERAGE Molina Medicare Options Plus HMO SNP Molina Medicare Options Plus HMO SNP Member Services CALL (866) 440-0012 Calls to this number are free. 7 days a week, 8 a.m. to 8 p.m., local time. Member Services also has free language interpreter services

More information

Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna Medicare SM Plan (PPO).

Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna Medicare SM Plan (PPO). January 1, 2014 December 31, 2014 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna Medicare SM Plan (PPO). This booklet gives you the

More information

FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner

FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner

More information

2015 Summary of Benefits

2015 Summary of Benefits 2015 Summary of Benefits Health Net Ruby (HMO) Benton, Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington and Yamhill counties, OR Benefits effective January 1, 2015 H6815 Health Net Health Plan

More information

Important information about your health benefits

Important information about your health benefits Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Important information about your health benefits Aetna Select SM Aetna Select SM Open Access Elect Choice Aetna

More information

The following State forms have been included in your claims kit packet:

The following State forms have been included in your claims kit packet: RE: Workers Compensation Claims Kit Dear Policyholder: Welcome to Tower Group Companies Workers Compensation Insurance Program. Although we hope that your company never experiences an injury to an employee,

More information

HARBOR ADVANTAGE (HMO) H7960-002-2015 Accepted

HARBOR ADVANTAGE (HMO) H7960-002-2015 Accepted HARBOR ADVANTAGE (HMO) H7960-002-2015 Accepted IMPORTANT This presentation is for the exclusive use of Authorized Plan Representatives of Harbor Advantage (HMO). Harbor Health Plan is an HMO plan with

More information

NIGHT & ON-CALL EMPLOYEES WORKERS COMPENSATION INFORMATION GUIDE

NIGHT & ON-CALL EMPLOYEES WORKERS COMPENSATION INFORMATION GUIDE The 10 Rules of Workplace Safety Risk & Benefits Management 1. Always be responsible for the safety of yourself and others. 2. Always remember all accidents are preventable 3. Always follow company rules,

More information

Annual Notice of Changes for 2014

Annual Notice of Changes for 2014 First Health Part D Premier Plus (PDP) offered by Cambridge Life Insurance Company Annual Notice of Changes for 2014 Dear Member, You are currently enrolled as a member of First Health Part D Premier Plus

More information

SCAN Classic (HMO) offered by SCAN Health Plan Evidence of Coverage for 2015 Los Angeles, Orange, Riverside and San Bernardino Counties

SCAN Classic (HMO) offered by SCAN Health Plan Evidence of Coverage for 2015 Los Angeles, Orange, Riverside and San Bernardino Counties SCAN Classic (HMO) offered by SCAN Health Plan Evidence of Coverage for 2015 Los Angeles, Orange, Riverside and San Bernardino Counties Y0057_SCAN_8636_2014F File & Use Accepted 08262014 G8653 09/14 January

More information

How To Use Aetna Health Fund Health Savings Account (Hsa) Plan

How To Use Aetna Health Fund Health Savings Account (Hsa) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan www.aetna.com

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Aetna Medicare SM Plan (PPO) Offered by Aetna Life Insurance Company Annual Notice of Changes for 2015 You are currently enrolled as a member of Aetna Medicare Plan (PPO). Next year, there will be some

More information

2015 SUMMARY OF BENEFITS Phoenix Advantage (HMO) Phoenix Advantage Select (HMO) January 1, 2015 December 31, 2015. H5985_009-2015 Accepted

2015 SUMMARY OF BENEFITS Phoenix Advantage (HMO) Phoenix Advantage Select (HMO) January 1, 2015 December 31, 2015. H5985_009-2015 Accepted 2015 SUMMARY OF BENEFITS Phoenix Advantage (HMO) Phoenix Advantage Select (HMO) January 1, 2015 December 31, 2015 H5985_009-2015 Accepted SUMMARY OF BENEFITS JANUARY 1, 2015 - DECEMBER 31, 2015 This booklet

More information

MEDICARE MYSTERY. Taking the OUT OF. Your how-to guide for finding the right plan for your needs

MEDICARE MYSTERY. Taking the OUT OF. Your how-to guide for finding the right plan for your needs Taking the MYSTERY OUT OF MEDICARE Your how-to guide for finding the right plan for your needs S6506_071015_B01a CMS Accepted 08/15/2015 H0302_565_2016 CMS Accepted 08/15/2015 An independent licensee of

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 SCAN Connections at Home (HMO SNP) offered by SCAN Health Plan Annual Notice of Changes for 2016 You are currently enrolled as a member of SCAN Connections at Home. Next year, there will be some changes

More information

Proof Mode-PDF/PReS 2159L_COVER.EPS 20100908

Proof Mode-PDF/PReS 2159L_COVER.EPS 20100908 2159L_COVER.EPS 20100908 MEMAGREE_TX_NEW_BK.EPS 20100426-1- 2159L_WELCOME.EPS 20101108-2- Terms and Conditions... 4 How to Use... 5 Physician Visit... 6 Hospital & Facility Access... 7 Medical Bill Saver...

More information

LINIO COLOMBIA. Starting-Up & Leading E-Commerce. www.linio.com.co. Luca Ranaldi, CEO. Pedro Freire, VP Marketing and Business Development

LINIO COLOMBIA. Starting-Up & Leading E-Commerce. www.linio.com.co. Luca Ranaldi, CEO. Pedro Freire, VP Marketing and Business Development LINIO COLOMBIA Starting-Up & Leading E-Commerce Luca Ranaldi, CEO Pedro Freire, VP Marketing and Business Development 22 de Agosto 2013 www.linio.com.co QUÉ ES LINIO? Linio es la tienda online #1 en Colombia

More information

PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE

PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE DAN S. COHEN, M.D PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE PLEASE PRINT CLEARLY / POR FAVOR ESCRIBA LEGIBLEMENTE TODAY S DATE / FECHA DE HOY: PATIENT'S NAME/NOMBRE DEL PACIENTE:

More information

Recommended Practicum Sites For Social Work

Recommended Practicum Sites For Social Work Turtle Creek Manor 2707 Routh Street Dallas, TX 75201 (214) 522-7952 FAX Holmes Street 2719 Holmes Street Dallas, TX 75209 (214) 421-1558 Main Mon-Fri 9:00-5:00 (214) 421-5537 FAX UT Southwestern Medical

More information

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan

Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Coverage and a smart way to help pay for it Aetna HealthFund Health Savings Account (HSA) Plan www.aetna.com

More information

SCAN Classic (HMO) San Joaquin County 2016 Summary of Benefits. Y0057_SCAN_9240_2015F File & Use Accepted

SCAN Classic (HMO) San Joaquin County 2016 Summary of Benefits. Y0057_SCAN_9240_2015F File & Use Accepted SCAN Classic (HMO) San Joaquin County 2016 Summary of Benefits Y0057_SCAN_9240_2015F File & Use Accepted SCAN Classic (HMO) (a Medicare Advantage Health Maintenance Organization (HMO) offered by SCAN Health

More information

BALCH SPRINGS Balch Springs Nursing Homes 4200 Shepherd Ln., Balch Springs, TX 75180 (972) 286-0335

BALCH SPRINGS Balch Springs Nursing Homes 4200 Shepherd Ln., Balch Springs, TX 75180 (972) 286-0335 ALLEN The Belmont At Twin Creeks 999 Raintree Circle, Allen, TX 75013 (972) 390-8088 Victoria Gardens Of Allen 310 S. Jupiter, Allen, TX 75002 (972) 727-5850 ALVARADO Alvarado LTC Partners, Inc. 101 N.

More information

January 1, 2015 December 31, 2015. Summary of Benefits. Aetna Medicare Select Plan (HMO) H3623-018 58.06.360.1-OH3 B

January 1, 2015 December 31, 2015. Summary of Benefits. Aetna Medicare Select Plan (HMO) H3623-018 58.06.360.1-OH3 B January, 205 December 3, 205 Summary of Benefits H3623-08 58.06.360.-OH3 B Y000_205_H3623_08_OH Accepted 9/204 Summary of Benefits January, 205 December 3, 205 This booklet gives you a summary of what

More information

UnitedHealthcare Community Plan STAR Member Handbook

UnitedHealthcare Community Plan STAR Member Handbook UnitedHealthcare Community Plan STAR Member Handbook TEXAS MARCH 2012 Counties Served: Austin, Brazoria, Cameron, Chambers, Duval, Fort Bend, Galveston, Hardin, Harris, Hidalgo, Jim Hogg, Jasper, Jefferson,

More information

$0 See the chart starting on page 2 for your costs for services this plan covers.

$0 See the chart starting on page 2 for your costs for services this plan covers. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling the United Workers Health Fund Office at 1-877-347-7225.

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 SeniorHealth Basic and Plus Plans Combined Annual Notice of Change and Evidence of Coverage Contract Year 2015 Contra Costa Health Plan s SeniorHealth Plan, a Medicare Cost Plan offered by Contra Costa

More information

Guide to Choosing a Hospital

Guide to Choosing a Hospital C E N T E R S F O R M E D I C A R E & M E D I C A I D S E R V I C E S Guide to Choosing a Hospital This official government booklet explains the following: Steps to find and compare hospitals Why hospital

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 Central Health Focus Plan (HMO SNP) offered by Central Health Plan of California Annual Notice of Changes for 2016 You are currently enrolled as a member of Central Health Focus Plan. Next year, there

More information

(HMO SNP) Affinity Medicare Ultimate (HMO SNP) Evidence of Coverage 2013

(HMO SNP) Affinity Medicare Ultimate (HMO SNP) Evidence of Coverage 2013 (HMO SNP) Affinity Medicare Ultimate (HMO SNP) Evidence of Coverage 2013 1 January 1 December 31, 2013 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as

More information

Dallas/Fort Worth Private Schools

Dallas/Fort Worth Private Schools Dallas/Fort Worth Private s ADDISON Brilliance Academy 14450 Marsh Addison, TX 75001 972-488-1277 www.brillianceacademy.com Greenhill 4141 Spring Valley Road Addison, TX 75001 972-628-5400 www.greenhill.org

More information