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A POS (Point of Service) plan gives you personal care and the freedom to go in- and out-of-network. You'll get: The comfort of having an in-network PCP to oversee all your care. Flexibility to see out-of-network providers. Savings by seeing doct...
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An HMO (Health Maintenance Organization) plan gives you personal care from a set network of doctors and hospitals. You'll get peace of mind with: The comfort of having an in-network primary care provider (PCP) to oversee all your care and refer yo...
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Apply online through Social Security's website Call Social Security at (800) 772-1213 TTY (800) 325-0778. Fill out the Application for Enrollment in Part B . Remember, you must already have Part A to apply for Part B. ...
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In most cases, you can keep the health plan you have and enroll in Medicare when you retire. If you have other insurance, like through your work, there are rules for whether Medicare pays first. If your employer has fewer than 20 employees, you m...
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Last Updated: 09/26/2022
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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Last Updated: 09/19/2022
in Your Account When the Centers for Medicare & Medicaid Services (CMS) makes changes to the services that are covered, they update them through National Coverage Determinations. Learn more about National Coverage Determinations on their website . CMS has issued t...
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Last Updated: 09/19/2022
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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Last Updated: 09/19/2022
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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Last Updated: 09/19/2022
in Your Account Medicare Part C (Medicare Advantage) and Medicare Part D (Prescription Coverage) To file or check the status of a grievance or an appeal‚ contact us at: Grievances: (800) 965-4022, 8 a.m. to 8 p.m., Monday through Friday, TTY/TDD 711 Appeals:...
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Last Updated: 09/19/2022
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...