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2011 Summary of Benefits
2011 Evidence of Coverage

How to Contact Us:

Telephone: 800.475.8466

TTY: 800.659.2656

Fax: 719.589.4901

Address:
700 Main Street, Suite 100
Alamosa, CO 81101

Hours: 8:00 am-8:00 pm
7 days a week

RESOURCES
  • Medicare Website
    This is the official government website with information and answers to questions about choosing Medicare coverage: www.medicare.gov
  • Medicare Helpline
    This is the official government phone number for information about choosing Medicare coverage: 1-800-MEDICARE (1-800-633-4227) TTY 1-877-486-2048. (24 hours a day, 7 days a week).
  • Social Security Administration
    Here's where you'll get help with questions about eligibility requirements for Medicare coverage. Medicare beneficiaries eligible for special subsidy programs must complete income verification forms through the Social Security Administration (SSA): Visit them online at www.ssa.gov or call 1-800-772-1213 TTY 1-800-325-0778.
  • Administration on Aging
    This web site features a wide variety of topics, programs and services related to aging: www.aoa.gov
  • If you would like to file a Medicare Complaint, click on the following link: https://www.medicare.gov/MedicareComplaintForm/home.aspx

A Health Plan with a Medicare contract.

DISCLAIMER
We renew our contract with Medicare annually. The availability of coverage beyond the end of the current year is not guaranteed.

Benefits, premium and/or copayments/coinsurance may change each year on January 1. Benefits may be subject to copayments, limitations and/or restrictions. See the Evidence of Coverage or contact Customer Service for details.

The benefit information contained herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.

You are eligible to enroll if you are entitled to Medicare Part A and enrolled in Medicare Part B and you live in the service area. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. Eligible beneficiaries can enroll in Colorado Choice at any time.

You can use any doctor who is part of Colorado Choice's network. You may also go to doctors outside of our network. We may not pay for services you receive outside of our network, but Medicare will pay for its share of charges it approves. You will be responsible for paying the Medicare deductible and coinsurance for those services, unless they were authorized in advance by Colorado Choice.

Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits.

Information is available in alternative formats or languages. Please call 1-800-475-8466 for details. Se puede presentar la información acerca del plan en un formato o idioma distinto. Para solicitar un documento en español, favor de llamar a Atención al Cliente, al número telefónico indicado debajo.

For more information, contact Customer Service at 1-800-475-8466 toll free or 719-589-3696, 8:00 a.m. to 8:00 p.m., 7 days a week. If you are hearing impaired and use TTY equipment, call 1-800-659-2656 (Para asistencia en español llame al 1-800-475-8466.


Information is current as of 11/27/2011.  Please contact our Customer Services department to verify that you have the most up to date information.

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