Details for FIDELIS - NY PRESS SERVICE - Ad from 2019-12-01

Medicare+Medicaid= More Benefits for You! You may be eligible for additional money-saving benefits through our Dual Advantage plans, including: • Monthly OTC Card up to $100 (to pay for items like OTC medications, toothpaste, incontinence supplies, and more) Medicare Card NEW MEDICARE HEALTH INSURANCE Name/Nombre JOHN L SMITH 1XX0-XX0-XX00 Entitled to/Con derecho a • Transportation • Dental • Care Management support • • • Top-quality doctors and hospitals OR Medicare Number/Número de Medicare HOSPITAL (PART A) MEDICAL (PART B) Cove Coverage starts/Cobertura empieza 01-01-2018 01-01-2018 PLE M A S Medicaid/Common Benefit Identification Card (CBIC) NEW Discounts for hearing devices* OR and many more! For a complete listing of plans in your service area, contact the plan. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Out-of-network services may require more out-of-pocket expense than in-network services. Benefit restrictions apply. Fidelis Legacy Plan is an HMO plan with a Medicare contract. Enrollment in Fidelis Legacy Plan depends on contract renewal. *Fidelis Legacy Plan partners with TruHearing for discounted purchases of hearing devices. Call us today! 1-800-860-8707 TTY: 711 Monday–Sunday, 8:00 a.m.–8:00 p.m. from October 1–March 31 Monday–Friday, 8:00 a.m.–8:00 p.m. from April 1–September 30 www.fideliscare.org/medicare H3328_FC 19179_M

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