The HealthChoice Medicare Supplement Plans With and Without Part D provide coverage throughout the United States. If you move out of the United States, you must notify HealthChoice so that you can be disenrolled and locate a new plan in your service area.

HealthChoice has contracted with the Centers for Medicare and Medicaid Services (CMS) to provide Medicare Part D Prescription Drug benefits through our HealthChoice Medicare Supplement Plans With Part D.

If you already have Medicare Part D benefits through your employer, union, or other source, you must enroll in one of the HealthChoice Medicare Supplement Plans Without Part D. Your coverage will be the same and include prescription drug benefits, but it will not include Medicare Part D benefits.

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Premiums

HealthChoice Medicare Supplement Plans With and Without Part D
HealthChoice COBRA Medicare Supplement Plans With and Without Part D
Premiums for Members Receiving Extra Help from Medicare

Health Benefits Information

HealthChoice Medicare Supplement Handbook
Health Benefits Chart

Pharmacy Benefits Information

Pharmacy and Formulary Information

Find a Network Pharmacy
Medicare Formulary Search: High Option Plans
Medicare Formulary Search: Low Option Plans
Pharmacy Benefits Chart
Non-Network Pharmacy Benefits
HealthChoice Medicare Formulary (Abridged) for Plan Year 2009
HealthChoice Medicare Comprehensive Formulary for Plan Year 2009

Policies and Procedures for Pharmacy Benefits

Medications Requiring Prior Authorization
Pharmacy Prior Authorization Process
Medications Limited in Quantity
Non-Covered and Non-Formulary Medications
Brand Name Exception (High Option Plans Only)
Specialty Medications (Only Plans Without Part D)
Transition Supply of Medication (Only Plans With Part D)
Medication Therapy Management (Only Plans With Part D)
Medicare Pharmacy Forms

Grievance and Appeals Information

Grievance and Appeals Summary for Health Benefits (All Medicare Supplement Plans)
Grievance and Appeals Summary for Pharmacy Benefits (Plans With Part D)
Grievance and Appeals Guide for Pharmacy Benefits (Plans With Part D)
Grievance and Appeals Summary for Pharmacy Benefits (Plans Without
Part D)

General Information

Extra Help Paying for Prescription Costs (Only Plans With Part D)
Ending Your HealthChoice Coverage
Protecting Your Personal Information

Contact Information

Plan Contact Information
Grievance and Appeals Contact Information

Plan Notices

Contracting Notice
HIPAA Privacy Notice
HealthChoice Medicare Supplement Plans Notice
Notices of Creditable Coverage

Last Modified on: 1/26/2009 10:29:56 AM

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