Napa and Sonoma Counties
|
|
|
- Dominick Hopkins
- 8 years ago
- Views:
Transcription
1 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
2 Napa and Sonoma Counties Benefit Highlights Comprehensive Care SCAN CLASSIC SCAN BALANCE Heart First Monthly Plan Premium $20 $20 Primary Care Office Visits $5 $5 $5 Specialist Office Visits $15 $15 $15 Diabetic Self-Management Training Diabetic Supplies (Lancets, Test Strips, Monitor) Annual Physical Exam Preventive Services (Medicare-Covered Screenings) SCAN Classic is a Medicare Advantage Plan including comprehensive preventive and hospital care plus complete prescription drug coverage. It s our most popular plan designed around the benefits and services that people use most. SCAN Balance is a Chronic Special Needs Plan available to anyone with Medicare who has been diagnosed with Diabetes Mellitus. Heart First is a Chronic Special Needs Plan available to anyone with Medicare who has been diagnosed with Cardiovascular Disorder or Chronic or Congestive Heart Failure. Lab Services Diagnostic Tests and Procedures X-rays Durable Medical Equipment 20% 20% 20% Outpatient Rehabilitation Maximum Out of Pocket (MOOP) $3,400 $3,400 $3,400 Hospital and Emergency Care Inpatient Hospital Care $195 (Days 1-5) (Days 6 and beyond) SCAN CLASSIC SCAN BALANCE Heart First $195 (Days 1-5) (Days 6 and beyond) $195 (Days 1-5) (Days 6 and beyond) Skilled Nursing Facility (Days 1-100) (Days 1-100) (Days 1-100) Outpatient Surgery $100 - $225 $100 - $225 $100 - $225 Emergency Care ( if admitted immediately) ( if admitted immediately) ( if admitted immediately) Urgent Care Services $25 (Worldwide) $25 (Worldwide) $25 (Worldwide) Ambulance Services $300 (per one-way trip) $300 (per one-way trip) $300 (per one-way trip)
3 Prescription Drug Coverage Initial Coverage Stage SCAN Contracted Pharmacy (1-month/31-Day Supply of Drugs) SCAN CLASSIC Tier 6: Select Care drugs $10 SCAN Balance Tier 6: Select Care drugs HEART FIRST Tier 6: Select Care drugs Savings Opportunity Order a 3-month supply (90 days) of Tier 1, Tier 2 and Tier 6 drugs through SCAN Mail-Order Pharmacy and only pay for two months
4 Additional Benefits and Services SCAN CLASSIC SCAN Balance Heart First Vision Services (Routine) Eye Exam (1 per (1 per (1 per Glasses or Contacts Copay $35 (every two years) $35 (every two years) $35 (every two years) Coverage for Frames or Contacts $105 (every two years) $105 (every two years) $105 (every two years) Chiropractic Services (Routine) $10 (20 visits per $15 (10 visits per $15 (10 visits per Transportation (Routine) (12 one-way trips) Not Covered Not Covered Podiatry Services (Routine) Not Covered (6 visits per (6 visits per Health Club Membership Not Covered Not Covered Home Delivered Meals Optional Supplemental Plans SCAN CLASSIC SCAN Balance Heart First Basic Dental Plan $8 per month $8 per month $8 per month Enhanced Dental Plan $16 per month $16 per month $16 per month
5 For more information, contact your Authorized SCAN Representative or call the number below: 3800 Kilroy Airport Way, Suite 100 Long Beach, CA Sales Information : a.m. 8 p.m., Monday through Friday, Pacific Time (8 a.m. 8 p.m., 7 days a week, Pacific Time, October 1 through February 14) TTY Users : 711 OR Visit our web site SCAN Classic (HMO), SCAN Balance (HMO SNP) and Heart First (HMO SNP) are HMO plans with a Medicare contract. Enrollment in SCAN Health Plan depends on contract renewal. You must continue to pay your Medicare Part B premium. Heart First is available to anyone with Medicare who has been diagnosed with Chronic or Congestive Heart Failure, Cardiac Arrhythmia, Coronary Artery Disease, Peripheral Vascular Disease, or Chronic Venous Thromboembolic Disorder. SCAN Balance is available to anyone with Medicare who has been diagnosed with Diabetes Mellitus. The benefit information provided herein is a brief summary, not a complete description of benefits. Benefits, formulary, provider/pharmacy network, premium, co-payments and/or co-insurance may change on January 1 of each year. Limitations, copayments, and restrictions may apply. For more information contact the plan. Calling the agent number will direct you to a licensed insurance agent. You can get prescription drugs shipped to your home through our network mail-order delivery program. Typically, you should expect to receive your prescription drugs within 14 days from the time the mail-order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact SCAN Member Services at (Medicare and Medi-Cal eligible members should call the SCAN Personal Assistance Line PAL at ), 8 a.m. 8 p.m., 7 days a week. TTY users should call 711. This information is available for free in other languages. Please call our customer service number at , 8 a.m. 8 p.m., seven days a week. TTY users call 711. Esta información está disponible gratuitamente en otros idiomas. Llame a nuestro número de servicio al cliente , 8 a.m. 8 p.m., siete días a la semana. Los usuarios de TTY deben llamar al 711. Y0057_SCAN_8798_2014F File & Use Accepted G /14 15C-BHL151
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
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
Quick Guide 2016. Peoples Health Choices 65 #14 (HMO) Jefferson, Orleans and Plaquemines parishes
Quick Guide 2016 $0 mium* Plan Pre Peoples Health Choices 65 #14 (HMO) Jefferson, Orleans and Plaquemines parishes *You must continue to pay your Medicare Part B premium. H1961_PH16C65S1QG Accepted Thank
Sales Presentation The Michigan Medicare Plans Designed Around YOU
Sales Presentation The Michigan Medicare Plans Designed Around YOU HARBOR MEDICARE (HMO) HARBOR MEDICARE SELECT (HMO) H7960_003-2016 Approved WHAT YOU CAN EXPECT FROM THIS PRESENTATION PART 1 Introduction
Gateway Health Medicare Assured RubySM (HMO SNP) $6,700 out-of-pocket limit for Medicare-covered services. No No No No. Days 1-6: $0 or $225 copay per
Assured RubySM (HMO Premium $0 monthly plan $0 - $33.90 monthly plan Assured GoldSM (HMO $12.40 - $46.30 monthly plan $43.90 - $77.80 monthly plan In Network Maximum Out-of-Pocket $3,400 out-of-pocket
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
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
Tribute. 2015 Summary of Benefits. Health Plan of Oklahoma. Tribute Health Plan of Oklahoma HMO SNP
Tribute Health Plan of Oklahoma Tribute Health Plan of Oklahoma HMO SNP 2015 Summary of Benefits This booklet gives you a summary of what we cover and what you pay. It doesn t list every service that we
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
Annual Notice of Changes for 2014
True Blue Rx Option II (HMO) offered by Blue Cross of Idaho Health Service, Inc. (Blue Cross of Idaho) Annual Notice of Changes for 2014 You are currently enrolled as a member of True Blue Freedom (HMO).
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
Allegian Advantage (HMO) H8554_001-2015 Accepted
Allegian Advantage (HMO) H8554_001-2015 Accepted IMPORTANT This presentation is for the exclusive use of Allegian Advantage (HMO) Allegian Health Plans is an HMO plan with a Medicare contract. Enrollment
2015 Summary of Benefits
2015 Summary of Benefits January 1, 2015 December 31, 2015 City of Houston Y0067_PRE_COH_SB_1014 IA 11/06/2014 HMO-COH-SB 2015 Section I Introduction to Summary of Benefits You have choices about how to
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
2015 Plan Guide ALLEGIAN ADVANTAGE (HMO) H8554_013-2015 Accepted
2015 Plan Guide ALLEGIAN ADVANTAGE (HMO) H8554_013-2015 Accepted Allegian Advantage is an HMO plan. We proudly serve Texas residents in Cameron, Hidalgo and Willacy counties, offering doctor, hospital
2015 Summary of Benefits
2015 Summary of Benefits January 1, 2015 December 31, 2015 Houston/Beaumont Area Y0067_PRE_H4506_SETX_SB41_0814 CMS Accepted 09/13/2014 HMO-SETX-SB K41 2015 Section I Introduction to Summary of Benefits
Summary of Benefits. Service To Seniors (HMO) and OC Preferred (HMO) It s Personal. Medicare Specialist Scott Pratt Se Habla Español.
2015 Summary of Benefits Service To Seniors (HMO) and OC Preferred (HMO) Medicare Specialist Scott Pratt Se Habla Español. It s Personal. H0545_RAY2012_xxx CMS Approved: xx/xx/2012 H0545_FUY2015_18 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
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
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
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
Classic Plan (HMO-POS)
Classic Plan (HMO-POS) Offered by Health First Health Plans You are currently enrolled as a member of the Classic Plan (HMO-POS). Next year, there will be some changes to the plan s costs and benefits.
Napa County. Medicare Advantage Plans. (Medicare Part C Plans) Compliments of HICAP. (Health Insurance Counseling and Advocacy Program)
2015 Napa County Medicare Advantage Plans (Medicare Part C Plans) HICAP Volunteer Counselors are available to help compare health plans in an objective and unbiased manner. They can help consumers understand
Annual Notice of Changes for 2015
Cigna HealthSpring Premier (HMO POS) offered by Cigna HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna HealthSpring Premier (HMO POS). Next year, there will
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,
Annual Notice of Changes for 2015
Cigna-HealthSpring Advantage (HMO) offered by Cigna-HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna-HealthSpring Advantage (HMO). Next year, there will be
2015 Summary of Benefits
2015 Summary of Benefits Health Net Ruby Select (HMO) Placer and Sacramento counties, CA Benefits effective January 1, 2015 H0562 Health Net of California, Inc. Material ID # H0562_2015_0285_B_CMS Accepted
2015 Summary of Benefits
2015 Summary of Benefits Health Net Healthy Heart (HMO) Placer and Sacramento counties, CA Benefits effective January 1, 2015 H0562 Health Net of California, Inc. Material ID # H0562_2015_0273 CMS Accepted
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
Annual Notice of Changes for 2014
True Blue Rx Option Il (HMO) offered by Blue Cross of Idaho Health Service, Inc. (Blue Cross of Idaho) Annual Notice of Changes for 2014 You are currently enrolled as a member of True Blue Rx Option Il
2016 Medicare Advantage Special Needs Plans (SNP) Full Dual Medicare & Medicaid Maricopa County
2016 Medicare Advantage Special Needs Plans (SNP) Full Dual Medicare & Medicaid Maricopa County Special Needs Plans for Dual Eligible beneficiaries are an HMO plan that limits their membership to people
Geisinger Gold Preferred Complete Rx (PPO) offered by Geisinger Indemnity Insurance Company
Geisinger Gold Preferred Complete Rx (PPO) offered by Geisinger Indemnity Insurance Company Annual Notice of Changes for 2016 You are currently enrolled as a member of Geisinger Gold Preferred Complete
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
Annual Notice of Changes for 2016
Healthy Advantage Plus HMO offered by Molina Healthcare of Utah Annual Notice of Changes for 2016 You are currently enrolled as a member of Healthy Advantage Plus HMO. Next year, there will be some changes
Service AvMed Cigna Leon Cares Humana HMO Humana PPO UnitedHealthcare. Out-of- Network
2016 Medicare Advantage Plans Comparison Chart This comparison chart is a side-by-side representation of services offered through the AvMed, Cigna, UHC, and Humana Medicare Advantage Plans for both in-network
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
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
ANNUAL NOTICE OF CHANGES FOR 2016
Cigna-HealthSpring Preferred (HMO) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred (HMO). Next year, there will be
INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS
INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS January 1, 2015 - December 31, 2015 CARE1ST HEALTH PLAN California:,, San Bernardino and Counties Coordinated Choice California: Alameda,
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
INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS
INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS January 1, 2015 - December 31, 2015 CARE1ST HEALTH PLAN Care1st AdvantageOptimum Plan (HMO) Texas: El Paso County H5928_15_029_SB_EP INTRODUCTION
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,
January 1, 2016 December 31, 2016. Summary of Benefits. Aetna Medicare Value Plan (HMO) H3312-060 H3312.060.1
January 1, 2016 December 31, 2016 Summary of Benefits H3312-060 H3312.060.1 Y0001_2016_H3312_060 Accepted 9/2015 Summary of Benefits January 1, 2016 December 31, 2016 This booklet gives you a summary of
Annual Notice of Changes for 2016
Central Health Medicare Plan (HMO) offered by Central Health Plan of California Annual Notice of Changes for 2016 You are currently enrolled as a member of Central Health Medicare Plan. Next year, there
L.A. Care s Medicare Advantage Special Needs Plan
L.A. Care s Medicare Advantage Special Needs Plan Summary of Benefits 2008 for people with Medicare and Medi-Cal Thank you for your interest in L.A. Care Health Plan. Our plan is offered by L.A. CARE
Your Guide to Medicare Special Needs Plans (SNPs)
CENTERS FOR MEDICARE & MEDICAID SERVICES Your Guide to Medicare Special Needs Plans (SNPs) This official government booklet has important information about Medicare Special Needs Plans, including the following:
Health Partners Plans Provider Manual Health Partners Plans Medicare Benefits Summary
5 Health Partners Plans Provider Manual Health Partners Plans Medicare Benefits Summary Purpose: This chapter provides a benefit summary for Health Partners Plans Medicare members, by plan. Topics: Health
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)
!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).
You have from October 15 until December 7, to make changes to your Medicare coverage for next year.
UPMC for Life HMO (HMO) offered by UPMC Health Plan Annual Notice of Changes for 2015 You are currently enrolled as a member of UPMC for Life HMO. Next year, there will be some changes to the plan s costs
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
Annual Notice of Changes for 2015
Cigna HealthSpring Preferred (HMO) offered by Cigna HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna HealthSpring Preferred (HMO). Next year, there will be
2016 Riverside Medical Clinic Contracted Medicare Advantage Health Plan Benefit Comparison
Riverside Medical Clinic Contracted Medicare Advantage Health Plan AARP Medicare Complete Plan 1 [Secure Horizons] 1-877-596-3258 Anthem MediBlue Select 1-800-797-6438 Health Net Healthy Heart ** 1-800-
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
ANNUAL NOTICE OF CHANGES FOR 2016
Cigna-HealthSpring Preferred KNX (HMO) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred KNX (HMO). Next year, there
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
January 1, 2016 December 31, 2016. Summary of Benefits. Aetna Medicare Prime Plan (HMO) H3931-087 H3931.087.1
January 1, 2016 December 31, 2016 Summary of Benefits H3931-087 H3931.087.1 Y0001_2016_H3931_087 Accepted 9/2015 Summary of Benefits January 1, 2016 December 31, 2016 This booklet gives you a summary of
[2015] SUMMARY OF BENEFITS H1189_2015SB
![[2015] SUMMARY OF BENEFITS H1189_2015SB](/thumbs/32/15705129.jpg "[2015] SUMMARY OF BENEFITS H1189_2015SB")
[2015] SUMMARY OF BENEFITS H1189_2015SB Section I You have choices in your health care One choice is to get your Medicare benefits through Original Medicare (fee-for-service Medicare). Original Medicare
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,
How To Compare Your Medicare Benefits To Health Net Ruby Select (Hmo)
2015 Summary of Benefits Health Net Ruby Select (HMO) Maricopa and Pinal counties Benefits effective January 1, 2015 H0351 Health Net of Arizona, Inc. Material ID # H0351_2015_0258 CMS Accepted 08302014
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
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
January 1, 2015 December 31, 2015 Summary of Benefits. Altius Advantra (HMO) H8649-003 80.06.361.1-UTWY A
January, 205 December 3, 205 Summary of Benefits H8649-003 80.06.36.-UTWY A Y0022_205_H8649_003_UT_WYa Accepted /204 Summary of Benefits January, 205 December 3, 205 This booklet gives you a summary of
Summary of Benefits. Health Partners Medicare Special (HMO SNP) 153967 HPM-415-15 SNP Benefits Book.indd 1
2016 Health Partners Medicare 901 Market Street, Suite 500 Philadelphia, PA 19107 Visit us at HPPMedicare.com Summary of Benefits Health Partners Medicare Special (HMO SNP) H9207_HPM-415-16 Accepted 9/2015
PROVIDENCE MEDICARE ADVANTAGE PLANS. 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED
PROVIDENCE MEDICARE ADVANTAGE PLANS 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED Service area map Columbia River Washington Oregon Clark Providence Medicare
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
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
UPMC for Life HMO Deductible with Rx (HMO) offered by UPMC Health Plan
UPMC for Life HMO Deductible with Rx (HMO) offered by UPMC Health Plan Annual Notice of Changes for 2016 You are currently enrolled as a member of UPMC for Life HMO Deductible with Rx. Next year, there
Companion Basic Rx (HMO) / Companion Rx (HMO) / Companion Plus Rx (HMO)
/ / Summary of Benefits January 1, 2016 December 31, 2016 The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. s pharmacy network offers
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
2015 Summary of Benefits
2015 Summary of Benefits Effective January 1, 2015, through December 31, 2015 H3952 Y0041_H3952_KS_15_18734 Accepted 09/01/2014 Section I: Introduction to Summary of Benefits You have choices about how
DECISION GUIDE. 2015 Regence Medicare Advantage PPO Plans
DECISION GUIDE 2015 Regence Medicare Advantage PPO Plans Regence BlueShield serves select counties in the state of Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association
Choose the Medicare Advantage Plan That s Right for You
Choose the Medicare Advantage Plan That s Right for You Indiana University Health Plans is a Medicare Advantage organization with a Medicare contract. Other pharmacies/physicians/providers are available
Essentials Rx 15 (HMO) Plan offered by PacificSource Medicare. Annual Notice of Changes for 2014
Essentials Rx 15 (HMO) Plan offered by PacificSource Medicare Annual Notice of Changes for 2014 You are currently enrolled as a member of Essentials Rx 15 (HMO) Plan. Next year, there will be some changes
Things you need to know about Medicare.
Things you need to know about Medicare. 1 2 3 1OPTION Original Medicare We re here to help. Approaching 65 is an important milestone in life, and becoming eligible for Medicare is part of that. Whether
Piedmont WellStar Medicare Choice (HMO) offered by Piedmont WellStar HealthPlans, Inc.
Piedmont WellStar Medicare Choice (HMO) offered by Piedmont WellStar HealthPlans, Inc. Annual Notice of Changes for 2015 You are currently enrolled as a member of Piedmont WellStar Medicare Choice HMO.
Annual Notice of Changes for 2015
Keystone 65 Select Medical-Only (HMO) offered by Independence Blue Cross Annual Notice of Changes for 2015 You are currently enrolled as a member of Keystone 65 Select Medical-Only. Next year, there will
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
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
Independent Health s Medicare Passport Advantage (PPO)
Independent Health s Medicare Passport Advantage (PPO) (a Medicare Advantage Preferred Provider Organization Option (PPO) offered by INDEPENDENT HEALTH BENEFITS CORPORATION with a Medicare contract) Summary
BlueCHiP for Medicare Group Plus (HMO) Summary of Benefits. January 1, 2015 - December 31, 2015
BlueCHiP for Medicare Group Plus (HMO) Summary of Benefits January 1, 2015 - December 31, 2015 This booklet gives you a summary of what we cover and what you pay. It doesn t list every service that we
Information. 2013 Additional
2013 Additional Information Additional information about covered benefits available under the Health Net Ruby Select (HMO), Health Net Seniority Plus Ruby Plan 1 (HMO) and Health Net Seniority Plus Ruby
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
2016 Summary of Benefits
2016 Summary of Benefits Health Net Violet Option 3 (PPO) Douglas and Josephine counties, OR Benefits effective January 1, 2016 H5520 Health Net Life Insurance Company H5520_2016_0202 CMS Accepted 09162015
Summary of Benefits Community Advantage (HMO)
Summary of Benefits Community Advantage (HMO) January 1, 2015 - December 31, 2015 This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list
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
Annual Notice of Changes for 2016
Blue Cross Medicare Advantage Basic (HMO) offered by GHS Health Maintenance Organization, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Blue Cross Medicare Advantage
Annual Notice of Changes for 2014
Advocare Spirit Rx (HMO-POS) offered by Security Health Plan of Wisconsin, Inc. Annual Notice of Changes for 2014 You are currently enrolled as a member of Advocare Spirit Rx (HMO-POS). Next year there
January 1, 2015 December 31, 2015 Summary of Benefits. Advantra (HMO) H3928-001 80.06.360.1-LA1
January, 205 December 3, 205 Summary of Benefits H3928-00 80.06.360.-LA Y0022_205_H3928_00_LA Accepted 9/204 Summary of Benefits January, 205 December 3, 205 This booklet gives you a summary of what we
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
2015 Orange County HICAP Medicare Advantage Special Needs Plans Comparison Chart
Brand New Day Brand New Day Brand New Day Brand New Day Bridges Drug Savings Bridges Extra Care Harmony Healthy Heart Drug Savings dementia. dementia. chronic and disabling mental health conditions. chronic
Health Partners Plans Provider Manual Health Partners Medicare Benefits Summary
5 Health Partners Plans Provider Manual Health Partners Medicare Benefits Summary Purpose: This chapter provides a benefit summary for Health Partners Medicare members, by plan. Topics: Health Partners
January 1, 2015 December 31, 2015. Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521-081 58.06.362.1-NC1
January, 205 December 3, 205 Summary of Benefits H552-08 58.06.362.-NC Y000_205_H552_08_NC Accepted 9/20 Summary of Benefits January, 205 December 3, 205 This booklet gives you a summary of what we cover
Medicare 101 Guide Your Guide to Medicare Basics
Medicare 101 Guide Your Guide to Medicare Basics Y0013_16_MEDGUI Accepted 11232015 bcbstmedicare.com Get More from Your Medicare This guide helps you understand how Medicare s different parts work and
January 1, 2015 December 31, 2015. Summary of Benefits. Aetna Medicare Premier Plan (PPO) H5521-081 58.06.362.1-NC1
January 1, 2015 December 31, 2015 Summary of Benefits H5521-081 58.06.362.1-NC1 Y0001_2015_H5521_081_NC Accepted 9/2014 Summary of Benefits January 1, 2015 December 31, 2015 This booklet gives you a summary
January 1, 2016 December 31, 2016. Summary of Benefits. Coventry Medicare Advantage Total Care (HMO) H2672-009 H2672.009.1
January 1, 2016 December 31, 2016 Summary of Benefits H2672-009 H2672.009.1 Y0001_2016_H2672_009 Accepted 9/2015 Summary of Benefits January 1, 2016 December 31, 2016 This booklet gives you a summary of
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
EVIDENCE OF COVERAGE Your Medicare Benefits and Services as a Member of EmblemHealth MLTC Plus (HMO SNP) January 1 December 31, 2015 H3330_124504
EVIDENCE OF COVERAGE Your Medicare Benefits and Services as a Member of EmblemHealth MLTC Plus (HMO SNP) January 1 December 31, 2015 H3330_124504 January 1 December 31, 2015 Evidence of Coverage: Your
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
January 1, 2016 December 31, 2016. Summary of Benefits. Aetna Medicare Connect Plus (HMO) H3931-088 H3931.088.1
January 1, 2016 December 31, 2016 Summary of Benefits H3931-088 H3931.088.1 Y0001_2016_H3931_088 Accepted 9/2015 Summary of Benefits January 1, 2016 December 31, 2016 This booklet gives you a summary of