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How Much You Pay 2015 

2015 Member Cost-Sharing and Benefit Limits

BenefitsCentral Health Medicare Plan (HMO)Central Health Medicare Plan (HMO SNP)Central Health Premier Plan (HMO)Central Health Focus Plan (HMO)
Medicare Part A and Part BMedicare Part A and Part B
Service AreaLos Angeles County
Partial Orange County
Partial San Bernardino County
Los Angeles County
Partial San Bernardino County
Los Angeles County
Partial Orange County
Partial San Bernardino County
Los Angeles County
Partial Orange County
Partial San Bernardino County
Los Angeles County
Partial Orange County
Partial San Bernardino County

2015 Prescription Drug Benefits


* If you receive Extra Help for Drugs, the Extra Help for Drugs program will pay all or part of your monthly plan premium ($28.80)

Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan.

Limitations, copayments, and restrictions may apply.

Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.

You must continue to pay your Medicare Part B premium.

Central Health Medi-Medi Plan (HMO SNP) is available to anyone who has both medical Assistance from the State and Medicare.

Central Health Focus Plan (HMO SNP) is available to anyone who has been diagnosed with Diabetes Mellitus.

Central Health Medi-Medi (HMO SNP) and Central Health Focus Plan (HMO SNP) have been approved by the National Committee for Quality Assuarnace (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of Central Health Medi-Medi Plan's and Central Health Focus Plan's Model of Care.

Central Health Medicare Plan is an HMO plan with a Medicare contract. Enrollment in Central Health Medicare Plan depends on contract renewal.

This information is available for free in other languages. Please call our customer service number at 1-866-314-2427, TTY/TDD 1-888-205-7671, 7 days a week, 8:00 AM to 8:00 PM (PT)
Esta información es disponible gratuitamente en otros lenguajes. Favor de ponerse en contacto con nuestro numero de servicio al cliente al 1-866-314-2427, TTY/TDD 1-888-205-7671, los 7 días a la semana, 8:00 AM a 8:00 PM (Tiempo Pacífico).