STAGE DEV MAY, 2013

Welcome Medicare Advantage Members

Welcome Medicare Advantage Members

For people with Medicare: CCHP Senior Program (HMO)

For people with both Medicare and Medi-Cal benefits: CCHP Senior Select Program (HMO SNP)

 

 

 

Disclaimer

CCHP Senior Program (HMO) is an HMO plan with a Medicare contract. Enrollment in CCHP Senior Program (HMO) depends on contract renewal. This plan is available to anyone who is enrolled in Medicare Part A and Part B and resides in the service area. Eligible individuals may enroll in the plan only during specific times of the year. Medicare beneficiaries may also enroll in CCHP Senior Program (HMO) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

CCHP Senior Select Program (HMO SNP) is an HMO plan with a Medicare contract and a contract with the California Medicaid program. Enrollment in CCHP Senior Select Program (HMO SNP) depends on contract renewal. This plan is available to anyone who is enrolled in Medicare Part A and Part B, receives full Medi-Cal benefits, and resides in San Francisco County. Eligible individuals may enroll in the plan at any time. Medicare beneficiaries may also enroll in CCHP Senior Select Program (HMO SNP) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

You must continue to pay your Medicare Part B premium (unless your Part B premium is paid for you by Medi-Cal or another third party). This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.  The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. For CCHP Senior Select Program (HMO SNP), premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

This information is available for free in other languages. Please contact our customer service number at 1-888-775-7888 (TTY 1-877-681-8898) from 8:00 a.m. to 8:00 p.m., seven days a week.

Esta información está disponible gratuitamente en otros idiomas.  Por favor póngase en contacto con nuestro número de servicio al cliente al 1-888-775-7888 (TTY 1-877-681-8898) de 8:00 a.m. a 8:00 p.m., siete días a la semana.

此文件有其它的語言版本免費提供。了解詳情請致電 1-888-775-7888 與會員服務中心聯絡( 聽力殘障人仕請電 TTY 1-877-681-8898 ),每週 7 天,上午 8 時至晚上 8 時。

H0571_2014_281 Approved

Last updated 07012015

STAGE DEV MAY, 2013