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To reach a licensed insurance agent, call us at 1-800-928-6201, TTY/TDD 711, 8 a.m. to 8 p.m., 7 days a week.
You may also call Customer Service to learn more about our plans, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30.
The Medicare Contract is renewed annually, and the availability of coverage beyond the end of the current year is not guaranteed. You are eligible to enroll if you are entitled to Medicare Part A and enrolled in Medicare Part B and you live in the service area. You must continue to pay your Medicare Part B premium. With some exceptions you can only enroll during certain times of the year.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
Limitations, copayments, and restrictions may apply.
Benefits, formulary, pharmacy network, provider network, premium and or co-payments/co-insurance may change on January 1 of each year.
To obtain an aggregate number of grievances, appeals and exceptions filed or for full information on benefits, please call the Customer Service Department.
Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits.
If you have special needs, our Plan documents may be available in other formats. Please call Customer Service for details.
Y0071_14_17617_R CMS Approved 10/29/2013
Last Updated 10/01/2013