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Summary of Benefits 

Summary of Benefits

To find out more about the benefits that we offer please download the Summary of Benefits. This booklet gives you a summary of what we cover and what you pay. It doesn’t list every service that we cover or list every limitation or exclusion. To get a complete list of services we cover, call us and ask for the “Evidence of Coverage”.

2017 Summary of Benefits

Central Health Medicare Plan (HMO), Central Health Premier Plan (HMO), and Central Health Focus Plan (HMO SNP)
(English (PDF - 766 KB))
(Spanish (PDF - 710 KB))

Central Health Medi-Medi Plan (HMO SNP)
(English (PDF - 1,079 KB))
(Spanish (PDF - 385 KB))

Central Health Advance Plan (HMO SNP)
(English (PDF - 933 KB))
(Spanish (PDF - 315 KB))

Central Health Ventura Medicare Plan (HMO), Central Health Ventura Medi-Medi Plan (HMO SNP)
(English (PDF - 870 KB))
(Spanish (PDF - 621 KB))

Central Health Ventura Premier Plan (HMO)
(English (PDF - 993 KB))
(Spanish (PDF - 350 KB))

How Can I Get Extra Help With My Prescription Drug Plan Costs or Get Extra Help With Other Medicare Costs?

You may be able to get extra help to pay for your prescription drug premiums and costs as well as get help with other Medicare costs. To see if you qualify for getting extra help, call:

  1. 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week and see ‘Programs for People with Limited Income and Resources’ in the publication Medicare & You.
  2. The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call 1-800-325-0778; or
  3. Your State Medicaid Office.

Monthly Plan Premium for People Who get Extra Help from Medicare to Help Pay for the Prescription Drug Costs

2017 Low Income Subsidy Premium Summary
(English (PDF - 65 KB))
(Spanish (PDF - 65 KB))

Please refer to the Evidence of Coverage for a complete explanation of the benefits offered by Central Health Medicare Plan.

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