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A total health solution that helps members become more healthy, or live better with a condition, while lowering the cost of health care.
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To reach a licensed insurance agent, call us at 1-888- 912-9633, TTY/TDD 711, 8 a.m. to 8 p.m., 7 days a week.  
You may also call Customer Service to learn more about our plans, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas), from October 1 through February 14; and Monday through Friday (except holidays) from February 15 through September 30. 
 
Empire BlueCross BlueShield is an LPPO plan and an HMO plan with a Medicare contract. Enrollment in Empire BlueCross BlueShield depends on contract renewal.  
Empire BlueCross is an LPPO plan and an HMO plan with a Medicare contract. Enrollment in Empire BlueCross depends on contract renewal.  
Empire BlueCross BlueShield is a D-SNP plan with a Medicare contract and a contract with the New York Medicaid program. Enrollment in Empire BlueCross BlueShield depends on contract renewal.  
This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.  
The Medicare Contract is renewed annually, and the availability of coverage beyond the end of the current year is not guaranteed. You are eligible to enroll if you are entitled to Medicare Part A and enrolled in Medicare Part B and you live in the service area. You must continue to pay your Medicare Part B premium. With some exceptions you can only enroll during certain times of the year.  
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. 
To obtain an aggregate number of grievances, appeals and exceptions filed or for full information on benefits, please call Customer Service.  
Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits.  
If you have special needs, our Plan documents are available in other formats. Please call Customer Service for details. 
Y0071_15_20615_R Pending CMS Approval
Last Updated 10/1/2014 
 
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