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MetroPlus Advantage Plan (HMO)

To be eligible for MetroPlus Advantage Plan (HMO), you must have Medicare Part A and B; reside in Manhattan, Brooklyn, Queens or the Bronx; and not have End-Stage Renal Disease (ESRD).

In 2010, MetroPlus Advantage Plan (HMO) provides all the benefits of Original Medicare PLUS:

• $0 or low cost premium. The amount you pay depends on your level of extra help.
   Click for Extra Help chart.
• $0 copayment for Primary Care visits
• Medicare Prescription Drug coverage
• Hearing Services - $0 co-payment for routine hearing test every year. Up to $500
   for hearing aids every two years
• Up to $400 per year in non-prescription drugs and health-related items using
   a MetroPlus issued card. Call MetroPlus Medicare Customer Services for details.
• $0 Diabetic Supplies
• Vision Services
• Specialized Care Management Programs, including AsthmaPlus and DiabetesCARE
   (plus Telehealth Program)

2010 Evidence of Coverage English Spanish

2010 Summary of Benefits English Spanish

How to enroll

You can meet with a MetroPlus Medicare representative at these locations or complete the MetroPlus Medicare Enrollment Request Form English or Spanish and send it to:

MetroPlus Health Plan
Attn: MetroPlus Medicare Customer Services
160 Water Street, 3rd Floor
NY, NY 10038

Medicare Customer Services: 866-986-0356, TTY 800-881-2812
Customer Services Hours: Monday - Saturday, 8 am - 8 pm
November 15 - March 1 only, Monday - Sunday, 8 am - 8 pm

H0423_MKT0908v2_10/2009
10/30/2009