Page 4 - Senior Link Magazine Summer 2018- Online Magazine
P. 4

1-800-MEDICARE (1-800-633-4227)
            JOHN DOE
                                         JOHN DOE
           123456789                     123-45-6789-A  MALE
           1234567890  01/01/2016        HOSPITAL  (PART A)  01-01-2016
                                         MEDICAL   (PART B)  12-31-2016



           Have Medicare and Medicaid?










           Get more benefits at no cost                                            $

           to you today!                                                                 0


           It’s easy! Enroll in an Amerigroup plan today. You’ll
           keep your Medicaid benefits, get all the benefits of

           Original Medicare, plus:

               • Up to $4,000 toward your dental care each year,
                  including dentures                                                     plan premium
               • Up to $3,000 toward your hearing aids each year                          and copays
               • FREE Personal Emergency Response System,
                  including a neck pendant or wrist band and
                  24-hour alert service
               • Up to $75 toward your eyewear each year
               • Rides to your doctor or pharmacy
               • FREE SilverSneakers® fitness program
               • And more

           Call today to talk to your local Medicare specialist:
           Call 1-888-790-4028 (TTY: 711)


           8:00 a.m. to 8:00 p.m., Monday to Friday

       ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-790-4028 (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt,
       có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-790-4028 (TTY: 711). We do not discriminate, exclude people, or treat them differently
       on the basis of race, color, national origin, sex, age or disability in our health programs and activities. Amerigroup Texas, Inc. is an HMO DSNP plan with a Medicare
       contract and a contract with the State Medicaid program. Enrollment in AMERIGROUP Texas, Inc. depends on contract renewal. Part B premium is covered for full-dual
       enrollees. 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. The Formulary, pharmacy network, and/or provider network may change
       at any time. You will receive notice when necessary. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premium, co-pays,
       co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. This policy has exclusions, limitations,
       and terms under which the policy may be continued in force or discontinued. For more information on benefits, please contact your agent or the health plan. The
       SilverSneakers fitness program is provided by Tivity Health, an independent company. Tivity Health and SilverSneakers are registered trademarks or trademarks of
       Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries. © 2017 Tivity Health, Inc. All rights reserved.
       Y0114_18_34841_U_002 CMS ACCEPTED 3/27/2018                                             ©Amerigroup 2018



        AD_DSNP18_NoEvent-TX-Lubbock-SeniorL-7.75x10.25-002-M2F.indd   1                                    5/1/18   4:28 PM
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