2016 Medicare Advantage Plans | Denver Health Medical Plan

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2016 Medicare Advantage Plans

Medicare Member Services

Denver Health Medical Plan, Inc.
777 Bannock, MC 6000
Denver, CO 80204
303-602-2111
Toll free 1-877-956-2111
TTY 711
Email Us
Fax: 303-602-2094
Serving Denver County

NCQA

Mission Statement

To provide quality, accessible and affordable healthcare services in the Denver area. In partnership with our providers, we continually seek to improve the health and well being of our member by:

  • Promoting wellness and disease prevention
  • Providing access to culturally diverse comprehensive health services
  • Enabling members to play an active role in their health care
  • Delivering our services with responsibility and respect to all

Denver Health offers you two Medicare Advantage Prescription Drug Plans. Each plan includes all traditional Medicare and Part D prescription drugs PLUS extra benefits. One plan is bound to meet your needs!

The provider network may change at any time. You will receive notice when necessary.

Qualifications

  1. you must live in Denver County; and
  2. you must have both Medicare Part A and Part B; and
  3. you must not have End Stage Renal Disease (ESRD)

Denver Health Medicare Choice (HMO SNP)This plan is for those who are looking for a comprehensive health plan and have both Medicare Parts A & B and full Medicaid benefits. In this plan, "Extra Help" also known as Low Income Subsidy (LIS) may pay for some or all of your drug costs for income-qualified members. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Medicare Choice is a Medicare-approved HMO plan and has a contract with the Colorado Medicaid program. Enrollment in Denver Health Medical Plan, depends on contract renewal.

Denver Health Medicare Select (HMO) This plan is for those who are looking for a comprehensive health plan and have Medicare Parts A & B. In this plan, "Extra Help" also known as Low Income Subsidy (LIS) may pay for some or all of your drug costs. Medicare Select is a Medicare-approved HMO plan. Enrollment in Denver Health Medical Plan, depends on contract renewal.

Requirements

  • You must receive all routine care from plan providers.
  • You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party.
  • Premiums, copays, co-insurance and deductibles may vary based on the level of "Extra Help' that beneficiaries may receive.
  • Members may enroll in the plan only during specific times of the year.

This information is available for free in other languages. Please contact our Member Services department at 303-602-2111 or toll free at 1-877-956-2111 for more information. TTY users should call 711. Our hours of operation are 8 a.m. - 8 p.m. seven days a week.

Este documento está disponible gratis en otros idiomas. Por favor comuníquese con nuestro departamento de Servicios al Afiliado al 303-602-2111 o llame gratis al 1-877-956-2111, para obtener más información. Los usuarios TTY favor de llamar al 711. Estamos disponibles de las 8 a.m. a las 8 p.m. los siete días de la semana.

If you have questions about Medicare in general, contact Medicare, 24 hours a day/7 days a week at 1-800-MEDICARE (1-800-633-4227) TTY/TDD users call 877-486-2048 Or visit www.medicare.gov

Or if you need help with complaints, grievances or have information requests, contact The Office of the Medicare Ombudsman (OMO); or www.medicare.gov/MedicareComplaintForm/home.aspx; or Denver Health Medicare Exceptions, Grievances and Appeals:

Click here for Best Available Evidence
Click here for a Multi Language document offering free interpreter services.

NCQAaccredited
NCQA_Accredited
H5608_4006_Denver Health Medical Plan, Inc.
CMS Approved
This page was last updated 01/20/2016