brand new day H E A LT H C A R E Y O U C A N F E E L G O O D A B O U T 2017 年註冊手冊 Healthy Heart Drug Savings (HMO SNP) Healthy Heart Dual Access (HMO SNP) 充血性心力衰竭或其他心力衰竭患者的 特殊安排 本手冊中有兩種健康保險福利 找出對您收益最大的那一個
Jeff Davis Brand New Day Brand New Day Brand New Day Universal Care, Inc Medicare Brand New Day 1985 Brand New Day Brand New Day Brand New Day Brand New Day 11 Original Medicare Medicare Medicare Medi-Cal (Medi-Medi) Brand New Day Brand New Day Brand New Day Jeff Davis 執行長 Brand New Day Health Plan
brand new day Medicare Medicaid Medicare Medicare Medicare C Medicare (HMO) Original Medicare A B D Medicare HMO Medicare (SNP) Medicare Medicare Medicaid Medicare Medicare 如果您是授權代表, 您必須在上面簽名並提供以下資料 : 代表人姓名 : 您與受益人的關係 : [Plan Use Only:] * 預約文件範圍受 CMS 記錄留存要求的約束 * H0838_ScopeofSalesApptConfirmationShortForm101911
brand new day We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 1-866-255-4795. Someone who speaks English/Language can help you. This is a free service. Tenemos servicios de intérprete sin costo alguno para responder cualquier pregunta que pueda tener sobre nuestro plan de salud o medicamentos. Para hablar con un intérprete, por favor llame al 1-866-255-4795. Alguien que hable español le podrá ayudar. Este es un servicio gratuito. 注意 : 如果您使用廣東話, 我們將免費為您提供語言協助服務 電話 1-866-255-4795( 聽障或語障使用者撥打 :1-866-255-4795) 您對我們的健康或藥物保險可能存有疑問, 為此我們提供免費的翻譯服務 如需翻譯服務, 請致電 1-866-255-4795 我們講中文的人員將樂意為您提供幫助 這是一項免費服務 Mayroon kaming libreng serbisyo sa pagsasaling-wika upang masagot ang anumang mga katanungan ninyo hinggil sa aming planong pangkalusugan o panggamot. Upang makakuha ng tagasaling-wika, tawagan lamang kami sa 1-866-255-4795. Maaari kayong tulungan ng isang nakakapagsalita ng Tagalog. Ito ay libreng serbisyo. Nous proposons des services gratuits d interprétation pour répondre à toutes vos questions relatives à notre régime de santé ou d assurance-médicaments. Pour accéder au service d interprétation, il vous suffit de nous appeler au 1-866-255-4795. Un interlocuteur parlant Français pourra vous aider. Ce service est gratuit. Chúng tôi có dịch vụ thông dịch miễn phí để trả lời các câu hỏi về chương sức khỏe và chương trình thuốc men. Nếu quí vị cần thông dịch viên xin gọi 1-866-255-4795 sẽ có nhân viên nói tiếng Việt giúp đỡ quí vị. Đây là dịch vụ miễn phí. Unser kostenloser Dolmetscherservice beantwortet Ihren Fragen zu unserem Gesundheits- und Arzneimittelplan. Unsere Dolmetscher erreichen Sie unter 1-866-255-4795. Man wird Ihnen dort auf Deutsch weiterhelfen. Dieser Service ist kostenlos. 당사는의료보험또는약품보험에관한질문에답해드리고자무료통역서비스를제공하고있습니다. 통역서비스를이용하려면전화 1-866-255-4795 번으로문의해주십시오. 한국어를하는담당자가도와드릴것입니다. 이서비스는무료로운영됩니다. Brand New Day 5
brand new day Если у вас возникнут вопросы относительно страхового или медикаментного плана, вы можете воспользоваться нашими бесплатными услугами переводчиков. Чтобы воспользоваться услугами переводчика, позвоните нам по телефону 1-866-255-4795. Вам окажет помощь сотрудник, который говорит по-pусски. Данная услуга бесплатная. ا ننا نقدم خدمات المترجم الفوري المجانية للا جابة عن ا ي ا سي لة تتعلق بالصحة ا و جدول الا دوية لدينا. للحصول على مجانية بمساعدتك. هذه - مترجم فوري ليس عليك سوى الاتصال بنا على 4795-255-866-1. سيقوم شخص ما يتحدث العربية.خدمة È disponibile un servizio di interpretariato gratuito per rispondere a eventuali domande sul nostro piano sanitario e farmaceutico. Per un interprete, contattare il numero 1-866-255-4795. Un nostro incaricato che parla Italianovi fornirà l assistenza necessaria. È un servizio gratuito. Dispomos de serviços de interpretação gratuitos para responder a qualquer questão que tenha acerca do nosso plano de saúde ou de medicação. Para obter um intérprete, contacte-nos através do número 1-866-255-4795. Irá encontrar alguém que fale o idioma Português para o ajudar. Este serviço é gratuito. Nou genyen sèvis entèprèt gratis pou reponn tout kesyon ou ta genyen konsènan plan medikal oswa dwòg nou an. Pou jwenn yon entèprèt, jis rele nou nan 1-866- 255-4795. Yon moun ki pale Kreyòl kapab ede w. Sa a se yon sèvis ki gratis. Umożliwiamy bezpłatne skorzystanie z usług tłumacza ustnego, który pomoże w uzyskaniu odpowiedzi na temat planu zdrowotnego lub dawkowania leków. Aby skorzystać z pomocy tłumacza znającego język polski, należy zadzwonić pod numer 1-866-255-4795. Ta usługa jest bezpłatna. हम र स सस द क जन क ब र म आपक कस भ प न क ज ब द न क लए हम र प स म फ दभ ष स ए उपलब ह. एक दभ ष प र करन क लए, बस हम 1-866-255-4795 पर फ न कर. क ई व य ज हनदद ब ल ह आपक मदद कर सक ह. ह एक म फ स ह. 注意 : 日本語をお話しになる場合は 言語支援サービスを無料でご利用いただけます 1-866-255-4795) までお電話ください HO838_MultiLang_insert_File and Use_09/24/2012 6 Brand New Day
brand new day Brand New Day HMO Brand New Day Brand New Day Brand New Day Brand New Day 1-866-255-4795 (TTY -866-321-5955) 10 1 2 14 7 8 00 8:00 2 15 9 30 8 00 8:00 Brand New Day Brand New Day Appeals and Grievances Department A&G 5455 Garden Grove Blvd, Suite 500 Westminster, California 92683 657-400-1217 Complaints@universalcare.com https://ocrportal.hhs.gov/ocr/portal/lobby.jsf U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) http://www.hhs.gov/ocr/office/file/index.html H0838_NOND Brand New Day 7
brand new day 哪一項 Heart Failure 計劃適合您? #030 (HMO SNP) Medicare Medi-Cal #031 (HMO SNP) Medicare Medi-Cal Medicare Medi-Cal Medi-Cal 8 Brand New Day
030 Healthy Heart Drug Savings (HMO SNP) brand new day Healthy Heart Drug Savings (HMO SNP) Medicare Medi-Cal H0838_2017 SB_030_rev2 Brand New Day 9
030 Healthy Heart Drug Savings (HMO SNP) brand new day Brand New Day (HMO) 須知事項 : Brand New Day Medicare Medicare Advantage HMO Brand New Day Healthy Heart Drug Savings (HMO SNP) Medicare Medicare A B Brand New Day D Brand New Day Healthy Heart (CHF) 365 24 Brand New Day Heart Program 365 24 10 Brand New Day
030 Healthy Heart Drug Savings (HMO SNP) brand new day Brand New Day Evidence of Coverage Brand New Day 1-866-255-4795 TYY 1-866-321-5955 8 8 10 1 2 14 Los Angeles Riverside Kern Orange San Bernardino Kings Brand New Day (HMO) Brand New Day Brand New Day http://www.brandnewdayhmo.com / Brand New Day 11
030 Healthy Heart Drug Savings (HMO SNP) Brand New Day (HMO) Medicare B 3,400 Brand New Day Brand New Day D 90 60 90 60 90 Medicare 12 Brand New Day
030 Healthy Heart Drug Savings (HMO SNP) / Brand New Day (HMO) 75 65 3 3 X X 20% X 15 55 0 12 Delta Dental Brand New Day 13
030 Healthy Heart Drug Savings (HMO SNP) Brand New Day (HMO) 250 * * 250 190 90 60 90 60 90 2016 1-20 21-100 161 2017 100 SNF 14 Brand New Day
030 Healthy Heart Drug Savings (HMO SNP) Brand New Day (HMO) 20% 20% 2 36 72 36 100 Medicare 20% 20% Brand New Day 15
030 Healthy Heart Drug Savings (HMO SNP) 24 24 Brand New Day Brand New Day (HMO) Medicare B B 24 (ASC) Medi-Cal Medi-Cal 20% Medicare 16 Brand New Day
030 Healthy Heart Drug Savings (HMO SNP) 30 30 30 Brand New Day (HMO) 9 45 95 33% 11 40% 51% 5% 3.30 8.25 3,700 D 1-866-255-4795 Brand New Day TTY 1-866-321-5955 http://www.brandnewdayhmo.com Medicare 4,950 Brand New Day 17
030 Healthy Heart Drug Savings (HMO SNP) brand new day 樂觀的心態有助於達到令人滿意的效果 18 Brand New Day
030 Healthy Heart Drug Savings (HMO SNP) brand new day Healthy Heart Drug Savings (HMO SNP) Medicare http://www.medicare.gov Medicare Plan Finder Original Medicare Medicare & You http://www.medicare.gov 1-800-MEDICARE (1-800-633-4227) TTY 1-877-486-2048 Medicare Brand New Day Healthy Heart Drug Savings http://www.medicare.gov CMS Medicare Online Enrollment Center Brand New Day 1-866-255-4795 TYY 866-321-5955 8 8 10 1 2 14 Esta informacion esta disponible gratis en otros idiomas. Por favor llame al departamento de servicio al miembro at 1 (866) 255-4795 o para usuarios de TTY, 1 (866) 321-5955. Los representates del servicio al miembro estan disponibles para asistirle de 8:00am a 8:00pm, de Lunes a Viernes y fines de semana de Octubre 1 a Febrero 14. Brand New Day 19
brand new day 服用處方藥, 以最大化治療可能以及最小化治療風險 20 Brand New Day
計劃 031 Healthy Heart Dual Access (HMO SNP) brand new day H E A LT H C A R E Y O U C A N F E E L G O O D A B O U T Healthy Heart Dual Access (HMO SNP) 充血性心力衰竭或其他心力衰竭患者的 特殊安排 該計劃專為擁有 Medicare 和 Medi-Cal 承保的個人以及充血性心力衰竭患者的 個人設計 該計劃配合 Medicare 和 Medi-Cal 最大化您的福利 該計劃提供額外的福利 設備 服務和個人健康教練 幫助您改善心髒疾病和 其他誘發條件如高血壓 H0838_2017 SB_031_rev2 Brand New Day 福利摘要 21
031 Healthy Heart Dual Access (HMO SNP) brand new day Brand New Day (HMO) 須知事項 : Brand New Day Medicare Medicare Advantage HMO Brand New Day Healthy Heart Dual Access Medicare Medicare A B Brand New Day D Medi-Cal Medicare Medi-Cal Brand New Day Healthy Heart Dual Access (CHF) 365 24 Brand New Day Heart 365 24 22 Brand New Day
031 Healthy Heart Dual Access (HMO SNP) brand new day Brand New Day Evidence of Coverage Brand New Day 1-866-255-4795 TYY 1-866-321-5955 8 8 10 1 2 14 Los Angeles Orange Riverside San Bernardino Kern Kings Brand New Day (HMO) Brand New Day Brand New Day http://www.brandnewdayhmo.com / Brand New Day 23
031 Healthy Heart Dual Access (HMO SNP) Brand New Day (HMO) 36.30 Medicare B Part D 400 6,700 Medicare Brand New Day D 2016 1-60 1288 61-90 322 60 644 2017 90 60 Brand New Day 90 60 90 60 SNF SNF 24 Brand New Day
031 Healthy Heart Dual Access (HMO SNP) Brand New Day (HMO) 20% 20% Medicare / 75 65 3 20% 65 65 3 X X 20% 20% 20% Brand New Day 25
031 Healthy Heart Dual Access (HMO SNP) Brand New Day (HMO) 20% X Delta Dental 20% 500 ) 500 26 Brand New Day
031 Healthy Heart Dual Access (HMO SNP) Brand New Day (HMO) 2016 1-60 1,288 61-90 322 60 644 2017 20% 20% 190 90 60 Brand New Day 額 90 60 90 (SNF) 60 SNF SNF 2016 1-20 21-100 161 2017 100 SNF Brand New Day 27
031 Healthy Heart Dual Access (HMO SNP) Brand New Day (HMO) 20% 20% 20% 20% 20% 2 36 72 36 20% 20% / 28 Brand New Day
031 Healthy Heart Dual Access (HMO SNP) / Brand New Day (HMO) 100 DME 100 DME 20% 20% 20% 20% 24 Medicare B B 20% 20% Brand New Day 29
031 Healthy Heart Dual Access (HMO SNP) Brand New Day (HMO) 24 20% (ASC) 20% 20% (OTC) Medi-Cal 20% Medicare 30 Brand New Day
031 Healthy Heart Dual Access (HMO SNP) D Brand New Day (HMO) 400 30 25% 25% 25% 25% 3,700 Brand New Day 31
031 Healthy Heart Dual Access (HMO SNP) Brand New Day (HMO) 40% 51% Medicare 4,950 30 5% 3.30 8.25 32 Brand New Day
031 Healthy Heart Dual Access (HMO SNP) brand new day Healthy Heart - Dual Access (HMO SNP) Medicare http://www.medicare.gov Medicare Plan Finder Original Medicare Medicare & You http://www.medicare.gov 1-800-MEDICARE (1-800-633-4227) TTY 1-877-486-2048 Medicare http://www.medicare.gov CMS Medicare Online Enrollment Center Brand New Day Brand New Day 866-255-4795 TYY 866-321-5955 8 8 10 1 2 14 Esta informacion esta disponible gratis en otros idiomas. Por favor llame al departamento de servicio al miembro at 1 (866) 255-4795 o para usuarios de TTY, 1(866) 321-5955. Los representates del servicio al miembro estan disponibles para asistirle de 8:00am a 8:00pm, de Lunes a Viernes y fines de semana de Octubre 1 a Febrero 14. Brand New Day 33
brand new day 認識到您不能做您過去常做的, 但您可以做您所需要做的 34 Brand New Day
brand new day H E A LT H C A R E Y O U C A N F E E L G O O D A B O U T 超出 Original Medicare 範圍的增強福利 Brand New Day 提供您的增強福利比 Original Medicare 提供的福利多 Brand New day 已與專業公司合作提供此類型的醫療護理 Brand New Day 很樂意能夠透過這些計劃為會員提供新增的承保範圍 部分其他福利和合作伙伴如下所示 Brand New Day 福利摘要 35
brand new day Silver & Fit 877-427-4788 www.silverandfit.com 24 844-772-6625 www.logisticare.com 866-595-8129 American Specialty Health (ASH) 800-678-9133 800-835-2362 36 Brand New Day
brand new day DELTA CARE USA 800-422-4237 24 brand new day 888-687-7321 24 Brand New Day Brand New Day UCLA Brand New Day 37
brand new day 如果您很看重身體健康, 您應該堅持鍛煉! 38 Brand New Day
brand new day Choice 90 Brand New Day / 90 Choice 90 Choice 90 Medicare Medi-Cal Brand New Day 1-866-255-4795 TTY 1-866-321-5955 1-800-772-1213 TTY 1-800-325-0778 www.ssa.gov/prescriptionhelp Medicare D Brand New Day 39
brand new day 在食用之前須閱讀標籤 低鈉低脂肪視頻最佳 40 Brand New Day
Brand New Day (SNP) brand new day 提議的保險生效日期 : Brand New Day 1a. Medi-Cal Medi-Cal (BIC) 1b. Medi-Cal 1c. HMO 10 15 12 7 1.d. Brand New Day Special Needs Plan Medicare and Medi-Cal 65 Dual Status SNP Medi-Cal * Brand New Day * 024 Dual Coverage Medi-Medi HMO D-SNP Medi-Cal 36.30 025 Classic Care (HMO) 033 Classic Choice for Medi-Medi (HMO) Medi-Cal 36.30 026 027 026 Diabetes-In Control Drug Savings HMO 027 Diabetes-In Control Dual Access HMO Medi-Cal 36.30 ( 除了 Kings 縣以外的所有縣均有提供 ) - 028 029 028 Dementia - Bridges Drug Savings HMO 029 Dementia -Bridges Dual Access HMO Medi-Cal 36.30 030 031 030 CHF-Healthy Heart Drug Savings HMO 031 CHF-Healthy Heart Dual Access HMO Medi-Cal 36.30 032 020 032 Mental Illness-Hope Drug Savings HMO 020 Mental Illness-Harmony Dual Access HMO Medi-Cal 36.30 H0838_2017 IEF_Accepted 第 1 頁, 共 5 頁
brand new day ( / / ) / / / / / Medicare (2h) Medicare Medicare Medicare - - Medicare MEDICARE Medicare _ - _ - H0838_2017 IEF_Accepted 第 2 頁, 共 5 頁
brand new day PCP PCP IPA Brand New Day 866-255-4795 (TTY 866-321-5955) 1. (ESRD) / 2. TRICARE Brand New Day ID ID -------------------------------------------- ---------------------------------------- --------------------------------------------- ID -------------------------------------------- ----------------------------------------- --------------------------------------------- H0838_2017 IEF_Accepted 第 3 頁, 共 5 頁
brand new day Medicare / / / / Medicare Medicaid Medicare Medicare Medicare / / / / / / / / PACE Medicare / / / / Medicare Medicare (SNP) / / SNP Brand New Day 866-255-4795 TDD/TYY 866-321-5955 D Medi-Cal Medicare 75% (800) 772-1213 TYY (800) 325-0778 www.ssa.gov/prescriptionhelp Medicare Medicare Medicare Medicare H0838_2017 IEF_Accepted 第 4 頁, 共 5 頁
brand new day (RRB) D Medicare RRB Brand New Day HMO D (RRB) / 2 ( ) DPOA DPAHC / / / FMO # # BRAND NEW DAY HMO ID E4 E6 / / D ICEP / IEP AEP SEP LIS H0838_2017 IEF_Accepted 第 5 頁, 共 5 頁
brand new day Bridge ** 1. 2. / ID 1. 1a. 1b. / 2. 3. 4.
brand new day 2016 Medicare * Medicare Program Medicare 1. 2. Medicare 2016 Brand New Day Medicare 3 Brand New Day / 3 3.5 5-4 - 3-2 - 1 - www.medicare.gov 8 8 866-255-4795 866-321-5955 (TTY) 10 15 12 7 8 8 866-255-4795 866-321-5955 (TTY) * 5 H0838_2016StarRating Brand New Day 53
brand new day 減肥, 獲得能量 54 Brand New Day
brand new day Brand New Day (866) 255-4795 911 24 HMO / HMO California HMO 24 (800) 910-4742 brand new day H0838 # # (80840) RxBin 015574 RxPCN UNV03 RxGRP (866) 255-4795 RxID (866) 255-4795 (866) 255-4795 TTY 866-321-5955 這是一個 Brand New Day 的醫療保健計劃! 866-255-4795 TTY 866-321-5955 8:00 8:00 10 1 2 14 Brand New Day Medicare Medicare Advantage Medicare Brand New Day
brand new day 93122 Long Beach, CA 90809-9871 866.255.4795 TTY 866.321.5955 www.brandnewdayhmo.com