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MetroPlus Medicare Partnership In Care Plan (HMO)

To be eligible for MetroPlus Medicare Partnership In Care Plan (HMO), an HIV/Special Needs Plan, you must have Medicare Parts A and B; be HIV+; reside in Manhattan, Brooklyn, Queens or the Bronx; and not have End-Stage Renal Disease (ESRD).

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

• $26.50 plan premium. The amount you pay depends of your level of extra help.
   Click for Extra Help chart.
• $0 copayments for Primary Care visits
Medicare Prescription Drug Coverage (Medicare Part D)
• Hearing Services - $0 copayment for routine hearing exam once a year
• Vision Services - One (1) pair of glasses every two years or one (1) pair of contacts
   every two years
• Up to $400 a year in non-prescription drugs and health-related items using a MetroPlus issued card. Call MetroPlus Medicare Customer Services for details.
• Up to $360 a year ($90 every three months) in reimbursable expenses for using taxi
   and/or livery services
• Choose an HIV Specialist as a Primary Care Provider
• HIV Specific Health Care Screenings
• Specialized Care Management Programs, including AsthmaPlus and DiabetesCARE
   (plus Telehealth Program)
• Coordination of medical and psychosocial services

2010 Evidence of Coverage English Spanish

2010 Summary of Benefits English Spanish

MetroPlus Medicare Provider and Pharmacy Directory

Check to see if you qualify for MetroPlus Medicare Plans

How to enroll

You can meet with a MetroPlus Medicare representative at these locations, email MetroPlus 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


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