Services at <toll-free phone and TTY/TDD numbers>, <days For more information, you can call <plan name> Member and hours of operation>. The call is free. Services or read the <plan name> Member Handbook. Need help? What if you see mistakes on this summary? If you have questions, call us at <toll-free number>. We are If something is confusing or right on this doesn’t look here <days and hours of operation>. TTY/TDD only: <TTY/TDD Explanation of Benefits, please call us at <plan name> Member number>. Services. [If applicable: You can also find answers to many questions on our website: <web address>.] You can also find information in your Member Handbook or call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a What about possible fraud? week. (TTY users should call 1-877-486-2048.) If this summary shows drugs not taking or anything else you’re that looks suspicious to you, please contact us. How to use this Explanation of Benefits Please check it over carefully. Call us at <plan name> Member Services. Or call Medicare at 1-800-MEDICARE (1-800-633-4227). Do you recognize the name of each pharmacy? Check TTY users should call 1-877-486-2048. You can call these the dates. Did you get drugs that day? numbers for free, 24 hours a day, 7 days a week. Did you get the drugs listed? Do they match those listed [Plans may also insert additional State-based resources on your receipts? Do the drugs match what your doctor for reporting fraud.] prescribed? [Plans with no cost sharing for drugs, delete the following language.] Did you pay the right cost sharing amount? Call us at <toll-free number> if you have questions about how much you must pay. Your drug claims for [insert month and year or date range] [Drug claims in this section should not include Part A or Part B drug claims.]
Services at <toll-free phone and TTY/TDD numbers>, <days and hours of operation>. The call is free. Need help? If you have questions, call us at <toll-free number>. We are here <days and hours of operation>. TTY/TDD only: <TTY/TDD number>. You can also find information in your Member Handbook or call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. (TTY users should call 1-877-486-2048.) How to use this Explanation of Benefits Please check it over carefully. Do you recognize the name of each pharmacy? Check the dates. Did you get drugs that day? Did you get the drugs listed? Do they match those listed on your receipts? Do the drugs match what your doctor prescribed? [Plans with no cost sharing for drugs, delete the following language.] Did you pay the right cost sharing amount? Call us at <toll-free number> if you have questions about how much you must pay. For more information, you can call <plan name> Member Services or read the <plan name> Member Handbook. What if you see mistakes on this summary? If something is confusing or doesn’t look right on this Explanation of Benefits, please call us at <plan name> Member Services. [If applicable: You can also find answers to many questions on our website: <web address>.] What about possible fraud? If this summary shows drugs you’re not taking or anything else that looks suspicious to you, please contact us. Call us at <plan name> Member Services. Or call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. You can call these numbers for free, 24 hours a day, 7 days a week. [Plans may also insert additional State-based resources for reporting fraud.] Your drug claims for [insert month and year or date range] [Drug claims in this section should not include Part A or Part B drug claims.]