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Created On: 08/15/2019
in Your Plan Coverage As our Medicare Advantage member, we also help you save on hearing aids with our TruHearing Select benefit. Through TruHearing®, you can get one routine hearing exam for a $0 copay and lowered rates on up to two TruHearing hearing aids per year whe...
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Created On: 08/15/2019
in Your Account You, your authorized representative, or your prescribing doctor can ask for a coverage determination. Mail us a Coverage Determination Request Form to: Simplete 3310 Fields South Drive Champaign, IL 61822 Call us at (800) 851-3379 , option...
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Created On: 08/15/2019
in Your Account Certain covered drugs have special rules or limits, like step-therapy, preauthorization, and quantity limits, to keep you safe. Learn more about these and which drugs have them. How do I request a coverage determination or medical exception for a ...
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Created On: 08/15/2019
in Understand Medicare Plan offerings depend on the service area and county where you live. Simplete plans are available in 5 Central Illinois counties and three Indiana counties where we've partnered with local, trusted healthcare providers in Illinois (Champaign, Ver...
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Created On: 08/19/2019
in Your Pharmacy Info View the High Risk Medication Chart
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Created On: 08/20/2019
in Your Account If you decide to disenroll from your Simplete Medicare Advantage plan, you are ending your membership. Disenrollment can be voluntary (your choice) or involuntary (not your choice). For more information on enrollment or disenrollment, see your Evide...
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Created On: 09/06/2019
in Your Pharmacy Info You might be able to get extra help paying for your prescription drug premiums and costs. LIS Rate Flyer - Simplete Local LIS Rate Flyer - Richland For more info and to see if you qualify, contact: Medicare.gov at 1-800-MEDICARE (800) 6...
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Within your first 108 days as a new member, you might be taking drugs that are not on our formulary, or list of covered drugs, that require you to meet certain requirements, like prior authorization, step therapy or quantity limits. If you're in ...
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Created On: 09/29/2021
in Understand Medicare Better therapeutic outcomes for members with multiple conditions Our Medication Therapy Management Program (MTMP) is focused on improving therapeutic outcomes for Medicare Part D members. To qualify for MTMP, a member must meet all of the following...