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2018 Health Plan Options
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AgeWell New York, LLC is a HMO plan with Medicare and Medicaid contracts. Enrollment in AgeWell New York, LLC depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Premiums, copays, co-insurance and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. Certain plans are available to anyone who has both Medical Assistance from the State and Medicare. CareWell Plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. AgeWell New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. AgeWell New York cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-866-586-8044 (TTY: 1-800-662-1220). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1- 866-586-8044 (TTY: 1-800- 662-1220). Assistance services for other languages are also available free of charge at the number above. All plan materials and information is available upon request in a different language or alternate formats such as braille, large print and audio.

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Long Island Office: 1991 Marcus Avenue,
Suite M201, Lake Success, NY 11042
• Toll Free: 1-866-586-8044 • TTY/TDD: 1-800-662-1220

Manhattan Office: 7 Division Street,
3rd Floor New York, NY 10002
• Tel: 1-855-833-1200
Chinese hotline

Contact Hours: Hours are 7 days a week from 8:00 am to 8:00 pm. Note: From February 15 to September 30, we may use alternate technologies on Weekends and Federal holidays.

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H4922_4006 Approved 10172017
Last Modified December 11, 2017

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