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ArchCare Advantage (SNP) Member Resources

Evidence of Coverage

The Evidence of Coverage contains a detailed description of the ArchCare Advantage plan benefits. This booklet provides details about your Medicare health plan and prescription drug coverage and explains how to get the care and drugs you need. This booklet is an important legal document for members. All members will receive a copy of the Evidence of Coverage at the time of enrollment and every year thereafter.

Downloads

This document may be available in Braille, large print or other formats. This document may also be available in other languages. For additional information, please call Member Services at 1‑800‑373‑3177 (TTY/TDD: 711), seven days a week, 8 a.m. to 8 p.m. Free interpreter services.

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This page was last updated on Wed, 03/08/2023 – 22:18

ArchCare Advantage HMO SNP is a Coordinated Care Plan with a Medicare contract. Enrollment in ArchCare Advantage depends on contract renewal. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact ArchCare Advantage. This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care. Limitations, copayments and restrictions may apply. Eligible beneficiaries may enroll in our plan at any time of year. You must continue to pay your Medicare Part B premium. Benefits, formulary, pharmacy network, premium and/ or co-payments/co-insurance may change on January 1 of each year.

This information is available for free in other languages. Please contact our customer service number toll-free at 1-800-373-3177, seven days a week, 8 a.m. – 8 p.m. (TTY/TDD: 711). Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de servicio al cliente al 800-373-3177, TTY 711, de domingo a sábado, de 8:00 am-8:00 pm.

Discrimination is Against the Law
ArchCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ArchCare does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1 800-373-3177 (TTY: 711).
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1 800-373-3177 (TTY: 711)