Disclaimer

Bravo Health contracts with CMS on an annual basis. Plan sponsors can choose to not renew their contract with CMS and CMS may also refuse to renew the contract, thus resulting in a termination or non-renewal. This may result in termination of the beneficiary's enrollment in the plan. In addition, the plan sponsor may reduce its service area and no longer offer services in the area where the beneficiary resides. Plans are offered by subsidiaries of Bravo Health, Inc. Coverage is provided through a Medicare Advantage Organization or a Medicare Prescription Drug plan sponsor with a Medicare contract. Anyone with Medicare Parts A & B who lives in the plan service area(s) may apply. You must continue to pay your Part B premium if not otherwise paid for by Medicare or by another third party. Enrollment in some of these plans may be limited to specific times of the year. Benefits vary by plan. Benefits, limitations, service areas and premiums are subject to change on January 1st of each year. If you decide to switch to premium withhold or move from premium withhold to direct bill, it could take up to three months for it take effect and you will ultimately be held responsible for those premiums. To contact Member Services and enroll in a Bravo Health plan, call 1-800-291-0396, seven days a week from 8 am to 8 pm. Please call TTY 711. You must continue to pay your Medicare Part B premium, even if your plan premium is $0. If you are a member of a full dual Special Needs Plan where your state pays the Part B premium, your Part B premium will be covered. We also list pharmacies that are in our network but are outside of 10 miles of your address. Please contact Bravo Health at 1-877-504-7252, 8 am to 8 pm, seven days a week, for additional information. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1, 2012.

Translation of material into another language may be available. For assistance, please call our Member Services Department at 1-800-291-0396, seven days a week, 8 am to 8 pm. TTY/TDD 711.

Es probable que haya traducciones de material en otro idioma. Para obtener ayuda, llame a nuestro Departamento de Servicios a los Miembros al 1-800-291-0396, siete días de la semana, de 8 a.m. to 8 p.m.. TTY/TDD 711.



Page last updated on 12/2/2011 12:19:11 PM
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