Like all Medicare health plans, this Medicare Special Needs Plan is approved by Medicare and run by a private company. Section 1.2 What is the Evidence of Coverage booklet about? This booklet tells you how to get your Medicare medical care and Evidence of Coverage prescription drugs covered through our plan. This booklet explains your rights and responsibilities, what is covered, and what you pay as a member of the plan. The and to the medical care and services and the word “coverage” “covered services” refers prescription drugs available to you as a member of Provider Partners Maryland Advantage (HMO SNP). important for you to learn what the rules are and what services are available to you. It’s plan’s We encourage you to set aside some time to look through this booklet. Evidence of Coverage If you are confused or concerned or just have a question, please contact our Member plan’s Services (phone numbers are printed on the back cover of this booklet). Evidence of Coverage Section 1.3 Legal information about the part of our contract with you It’s This is part of our contract with you about how Provider Partners Evidence of Coverage Maryland Advantage (HMO SNP) covers your care. Other parts of this contract include your enrollment form, the and any notices you receive from us List of Covered Drugs (Formulary), about changes to your coverage or conditions that affect your coverage. These notices are sometimes called or “riders” “amendments.” The contract is in effect for months in which you are enrolled in Provider Partners Maryland Advantage (HMO SNP) between January 1, 2018 and December 31, 2018. Each calendar year, Medicare allows us to make changes to the plans that we offer. This means we can change the costs and benefits of Provider Partners Maryland Advantage (HMO SNP) after December 31, 2018. We can also choose to stop offering the plan, or to offer it in a different service area, after December 31, 2018. Medicare must approve our plan each year Medicare (the Centers for Medicare & Medicaid Services) must approve Provider Partners Maryland Advantage (HMO SNP) each year. You can continue to get Medicare coverage as a member of our plan as long as we choose to continue to offer the plan and Medicare renews its approval of the plan.
Like all Medicare health plans, this Medicare Special Needs Plan is approved by Medicare and run by a private company. Section 1.2 What is the Evidence of Coverage booklet about? This Evidence of Coverage booklet tells you how to get your Medicare medical care and prescription drugs covered through our plan. This booklet explains your rights and responsibilities, what is covered, and what you pay as a member of the plan. The word “coverage” and “covered services” refers to the medical care and services and the prescription drugs available to you as a member of Provider Partners Maryland Advantage (HMO SNP). It’s important for you to learn what the plan’s rules are and what services are available to you. We encourage you to set aside some time to look through this Evidence of Coverage booklet. If you are confused or concerned or just have a question, please contact our plan’s Member Services (phone numbers are printed on the back cover of this booklet). Section 1.3 Legal information about the Evidence of Coverage It’s part of our contract with you This Evidence of Coverage is part of our contract with you about how Provider Partners Maryland Advantage (HMO SNP) covers your care. Other parts of this contract include your enrollment form, the List of Covered Drugs (Formulary), and any notices you receive from us about changes to your coverage or conditions that affect your coverage. These notices are sometimes called “riders” or “amendments.” The contract is in effect for months in which you are enrolled in Provider Partners Maryland Advantage (HMO SNP) between January 1, 2018 and December 31, 2018. Each calendar year, Medicare allows us to make changes to the plans that we offer. This means we can change the costs and benefits of Provider Partners Maryland Advantage (HMO SNP) after December 31, 2018. We can also choose to stop offering the plan, or to offer it in a different service area, after December 31, 2018. Medicare must approve our plan each year Medicare (the Centers for Medicare & Medicaid Services) must approve Provider Partners Maryland Advantage (HMO SNP) each year. You can continue to get Medicare coverage as a member of our plan as long as we choose to continue to offer the plan and Medicare renews its approval of the plan.