STAGE DEV MAY, 2013

Medicare Resources

Medicare Resources

This page contains links to websites / forms that provide information of special interest to Medicare beneficiaries and their families. These websites may not be associated with CCHP, but the information they provide may be helpful in researching issues related to Medicare.

Centers for Medicare & Medicaid Services (CMS) (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
Detailed information and helpful links about the government's Medicare program.

CMS Best Available Evidence (BAE) Policy Page (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
Up to date information on the BAE program for Medicare Part D.

Medicare (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
The official U.S government Medicare website that provides general information and helpful tools.

Medicare Access to Rx (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
Information about prescription drugs and free drugs comparison tools. Please note that Medicare has neither reviewed nor approved the information from this link.

Social Security Administration (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
Official Social Security website with information about eligibility requirements for Medicare coverage and special subsidy programs.

Medicare Ombudsman (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
The Medicare Ombudsman (OMO) helps you with complaints, grievances, and information requests.

Medicare Complaint Form (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
Submit feedback about your Medicare health plan or prescription drug plan directly to Medicare using this form.

Appointment of Representative Form
To appoint someone to be your representative.

Request for Redetermination of Medicare Prescription Drug Denial
To request for Medicare prescription drug denial redetermination.

Request for Medicare Prescription Drug Coverage Determination
To request for Medicare Prescription drug coverage determination.

 

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 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). The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. 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_280 Accepted

Last updated 07012015

STAGE DEV MAY, 2013