Resources / Materials

2017 Summary of Benefits

2017 List of Drugs (Formulary)

Certain prescription drugs that require prior authorization may be covered under Medicare Part B or D. Information may need to be submitted telling us the use and setting of the drug to make the decision.

2017 Member Handbook

Over-the-Counter brochure

Multi-Language Interpreter Services

2017 Request for Medicare Prescription Drug Coverage Determination (You cannot use this form for Medicare non-covered drugs: fertility drugs, drugs prescribed for weight loss, weight gain or hair growth, over the counter drugs, or prescription vitamins (except prenatal vitamins and fluoride preparations).

Hospice Prior Authorization Form

Healthy Moves Member Newsletters

Healthy Moves is written with you in mind, to share important health information. You can find tips and timely topics to help you start or maintain your health. See below to get the newsletter in PDF for download.

Winter 2017

Fall 2016

Summer 2016

Spring 2016

Fall/Winter 2015-16

Member Stories

Other Materials

Links

Prescription Drug Mail Order

Appointment of Representative

File a complaint directly with CMS

Information to help prevent, report and stop Fraud, Waste, and Abuse

Office for Civil Rights

The Office of the Medicare Ombudsman (OMO)
You can contact the MI Health Link Ombudsman toll free at 1-888-746-6456 Monday through Friday 8 a.m. to 5 p.m. or email help@MHLO.org . For more information visit http://mhlo.org/

To file a complaint (also called a “grievance”) with Medicare, go to: http://www.medicare.gov/claims-and-appeals/file-a-complaint/complaint.html

Last Updated: 06/09/17
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