Legal Disclosure

 

Empire BlueCross BlueShield is a Medicare Advantage plan with a Medicare contract. Empire BlueCross BlueShield is a SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Empire BlueCross BlueShield depends on contract renewal.

 

The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company. 

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation. 

 

This policy meets the minimum standards for MEDICARE SUPPLEMENT INSURANCE as defined by the New York State Department of Financial Services. The expected benefit ratio for this policy is 65%. This ratio is the portion of future premiums which the company expects to return as benefits, when averaged over all people with this policy. 

 

Enrollment in Medicare Supplement insurance is no longer offered to new members in New York.

 

Products offered are not connected with or endorsed by any division or agency of the state of New York, the United States government, or the Federal Medicare program. The policy form numbers are: APLANAM(17)-NY BCBS; APLANBM(17)-NY BCBS; APLANFM(17)-NY BCBS; APLANGM(17)-NY BCBS; APLANNM(17)-NY BCBS; APLANAM(17)-NY BC; APLANBM(17)-NY BC; APLANFM(17)-NY BC; APLANGM(17)-NY BC; and APLANNM(17)-NY BC. 

 

IMPORTANT NOTICE - A CONSUMER’S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM THIS INSURER 

 

Services provided by Empire HealthChoice HMO, Inc., Empire HealthChoice Assurance, Inc., and/or HealthPlus HP, LLC, Independent licensees of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Empire BlueCross Retiree Solutions and/or Empire BlueCross BlueShield Retiree Solutions is the trade name of Anthem Insurance Companies, Inc. licensees of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our website Privacy Policy for more information.

 

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. 

 

This information is not a complete description of benefits. Call Customer Service, (TTY:711) for more information.