Healthy Advantage (HMO) Evidence of Coverage*
This EOC, along with your enrollment form and amendments, is Healthy Advantage’s contract with you. It explains your rights, benefits, and responsibilities as a member of Healthy Advantage. It also explains our responsibilities to you.
It gives you details about:
- What is covered and what is not covered.
- How to get the care you need, including rules you must follow.
- What you pay for your health plan.
- What to do if you are unhappy about something related to getting your covered services.
- How to leave Healthy Advantage (HMO) and other Medicare options that are available.
- Your rights as a member of our plan, including treatment decisions and using advance directives.
- Our responsibility to treat patients with dignity, fairness and respect.
- Your rights and responsibilities upon disenrollment.
The information in this booklet is in effect from January 1, 2009, through December 31, 2009. If you need to receive this booklet in a different format (such as Spanish), please call us so we can send you a copy:
1-877-644-0344 (TDD/TTY 1-800-346-4128)
8 a.m. – 8 p.m. (local time), Monday through Friday.
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