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2008 Provider Directory:
2008 Drug Formulary
2008 Summary of Benefits
2008 Low Income Subsidy Premium Information
2008 Evidence of Coverage
2008 Medicare Forms
Appeals and Grievances
Refer to the Evidence of Coverage for information about:
- Part C organization determinations - SECTION 9
- Part C grievances - SECTION 8
- Part C appeals - SECTION 9
- Part D coverage determinations - SECTION 10
- Part D grievances - SECTION 8
- Part D appeals - SECTION 10
Care1st Health Plan is an HMO that contracts with the federal government to provide Medicare services and benefits.
Care1st Health Plan serves a specific service area. The service area for the Care1st Medicare Advantage Plan and the Dual Plus
Plan includes: Los Angeles*, Orange*, San Bernardino*, and San Diego Counties, CA. The service area for the Care1st Platinum Plan includes: Los Angeles*
County, CA. You must live in one of these areas to join the plan. You can join Care1st Medicare Advantage Plan if you are entitled to Medicare Part A and
enrolled in Medicare Part B and live in the service area.
*Note: Only parts of these counties are covered. For more information, call Care1st Member Services at 1-800-544-0088 (TTY 1-800-735-2929) Monday through
Friday, 8:00 a.m. to 6:00 p.m. Pacific time.
All Medicare Advantage and Medicare Prescription Drug Plans agree to stay in the program for a full year at a time.
Each year, the plans decide whether to continue for another year. Even if a Medicare Advantage or Medicare Prescription Drug Plan leaves the program,
you will not lose Medicare coverage.
If a plan decides not to continue, it must send you a letter at least 90 days before your coverage will end.
The letter will explain your options for Medicare coverage in your area.
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