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Medi-Pak® Advantage
Pre-Enrollment Disclaimers
Access Statement
If you obtain routine care from out-of-plan providers neither Medicare nor
Medi-Pak Advantage will be responsible for the costs.
Eligibility
Medi-Pak Advantage is open to all Medicare beneficiaries eligible by age or disability in the plan’s services area (Arkansas).
Benefit and Plan Premium Information
You must continue to pay your Medicare Part B premium even if your Medi-Pak
Advantage premium is $0.
For full information on Medi-Pak Advantage (e.g., routine physical exam, eyeglasses, dental) benefits,
call our Customer Service Department at 1-800-634-6314, 8 a.m. – 8 p.m., 7 days a week (TTY: 1-800-370-5869).
Medi-Pak Advantage’s contract with CMS is renewed annually and that the availability of coverage beyond the end of the current year is not guaranteed.
Enrollment Limitations
Medicare beneficiaries enroll in a plan only during specific times of the year. For more information, see
Enrollment Guidelines or call us
at 1-800-634-6314, 8 a.m. – 8 p.m., 7 days a week (TTY: 1-800-370-5869).
Benefit Changes
Medi-Pak Advantage benefits, premium and/or copayments/coinsurance may change on January 1, 2009.
Please contact Medi-Pak Advantage for details.
Hours of Operation
Call us at 1-800-634-6314, 8 a.m. – 8 p.m., 7 days a week (TTY: 1-800-370-5869).
Availability of Alternative Formats
Pre-enrollment materials and the Med-Pak Advantage Evidence of Coverage
are available in alternative formats.
H5849_Advantage Website Submission
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