Disclaimer

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.

You must continue to pay your Medicare Part B premium. Members may enroll in the plan only during specific times of the year.

Premiums, co-pays, co-insurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details. Benefits, formulary, provider network, pharmacy network, premium, co-payments and/or co-insurance may change on January 1 of each year. Limitations, copayments and restrictions may apply.

Call Member Services at 1-866-333-3530 for additional information. (TTY Users: 711). Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31.

From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Messages received on holidays and outside of our business hours will be returned within one business day.

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Medicare beneficiaries may also enroll in Vitality Health Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

ATTENTIONIf you speak another language, language assistance services, free of charge, are available to you. Call 1-866-333-3530 (TTY:711).