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Important Disclaimer

The BayCare Health Plans are HMO plans with a Medicare contract. Enrollment in BayCare Health Plans depend on contract renewal. All BayCare Health Plans include Part D drug coverage. To enroll in a BayCare Health Plans, you must have both Medicare Parts A and B and resident in the Florida counties of Hillsborough, Pasco, Pinellas, or Polk. You must continue to pay your Medicare Part B premium. Enrollment in BayCare Health Plans may be limited to specific times of the year. 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 copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Members must use plan providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from BayCare Health Plans, neither Medicare nor BayCare Health Plans will be responsible for the costs. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. BayCare Health Plans complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (866) 509-5396 (TTY: 711).

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.  Rele (866) 509-5396 (TTY: 711).

H2235_18-201 - Last Updated 12/17/2018

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