Coming Soon to Your Mailbox: Important Plan Information on Your 2011 Benefits

The First Name To Trust--from Coventry Health Care

Over the years you’ve come to know our Medicare prescription drug plans (Part D) under the name of “AdvantraRx.” Beginning on January 1, 2011, all of our prescription drug plans will have the “First Health Part D” name. We are still Coventry Health Care, one of the first companies to offer Medicare Part D plans, and still the company you can trust to help you with your Medicare prescription drug coverage needs.

Mark Your Calendar for October 30, 2010!

No later than October 30th, you will receive a very important packet of information from us that explains how your prescription drug benefits and services will change for 2011. That packet is called an Annual Notice of Changes and Evidence of Coverage (ANOC-EOC). These benefit and service changes are effective January 1, 2011.

The packet will have our First Health Part D name on it, so be sure to keep an eye out for it! Once you receive it, if you have any questions, don’t hesitate to contact us at the Customer Service number on your member ID card.

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We know you have a choice of Medicare Prescription Drug Plans. We appreciate that you chose us to provide you with your 2010 benefits. Coventry Health Care values your membership and looks forward to servicing your Medicare prescription drug needs in 2011.

Thank you for your interest in AdvantraRx (PDP)

It is our pleasure to provide you with our 2010 Part D plan options, available to those who are Medicare-eligible.  Let us guide you through this site and help you choose the prescription drug plan that is right for you and your budget.

As a Medicare beneficiary, you may save money on the medications you need with AdvantraRx (PDP).

Remember that at any time you can speak to an AdvantraRx (PDP) sales representative at 1-800-882-3822 (TTY/TDD 1-888-788-4010 for the hearing impaired), 8:00 a.m. to 8:00 p.m., seven days a week.  We are committed to offering excellent service by providing you comfort in knowing that we will be there when you need us.

 

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AdvantraRx (PDP) is a Medicare-approved Part D sponsor. The contracts with the Centers for Medicare & Medicaid Services (CMS) are renewed annually; coverage beyond the end of the current contract is not guaranteed. Our plan is authorized by law to refuse to renew its contract with CMS and CMS also may refuse to renew the contract. Termination or non-renewal may result in termination of your enrollment in our plan. AdvantraRx (PDP) may reduce its service area and no longer offer services in the area where you reside. 

You must be entitled to Medicare benefits under Part A and/or enrolled in Part B, and reside in the AdvantraRx (PDP) service area. You may only enroll in one Part D Benefit Plan (PDP) at a time and only during specific times of the year. If you are enrolled in a Medicare coordinated care (HMO or PPO) plan or a Medicare Advantage (MA) Private Fee-for-Service (PFFS) plan that includes Medicare prescription drugs, you may not enroll in a PDP unless you disenroll from the HMO, PPO or MA PFFS plan. Enrollees in a PFFS plan that does not provide Medicare prescription drug coverage, or a MA Medical Savings Account (MSA) plan may enroll in a PDP. Enrollees in an 1876 Cost plan may enroll in a PDP. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party.

Medicare beneficiaries may enroll in AdvantraRx (PDP) through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact AdvantraRx (PDP) at 1-800-882-3822 (TTY/TDD users call 1-888-788-4010), 8 a.m. to 8 p.m., seven days a week. Brokers are paid a commission upon beneficiary enrollment.

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227).  TTY users should call 1-877-486-2048, 24 hours a day, seven days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday–Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for seventy five (75) percent of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

If you decide to switch to premium withhold or move from premium withhold to direct billing, it could take up to three months for it to take effect and you will ultimately be held responsible for those premiums.

Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use network pharmacies. In general, benefits are only available at contracted network pharmacies.

Benefits, formulary, pharmacy, network premium and/or co-payments/co-insurance may change on January 1, 2010. Please contact AdvantraRx (PDP) for details.

Documents are available in alternative formats or languages. Call AdvantraRx (PDP) at 1-800-882-3822 (TTY/TDD users call 1-888-788-4010), 8 a.m. to 8 p.m., seven days a week for information about other formats or languages.