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Submitted URL: https://auth.alignseniorcare.com/
Effective URL: https://alignseniorcare.com/
Submission: On August 14 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://alignseniorcare.com/
Submission: On August 14 via automatic, source certstream-suspicious — Scanned from DE
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Press Alt+1 for screen-reader mode, Alt+0 to cancelAccessibility Screen-Reader Guide, Feedback, and Issue Reporting * Shop Plans * For Providers * For Members * For Partners * Blog * Contact Us * Find a provider/pharmacy Select Page * Shop Plans * For Providers * For Members * For Partners * Blog * Contact Us * Find a provider/pharmacy 2024 Provider System Change Updates Change Healthcare Outage Updates PERSONALIZED SENIOR HEALTHCARE PLANS More than a health plan—it is peace of mind. Find a Provider / Pharmacy Shop Plans WANT TO LEARN MORE? Leave your information and we’ll contact you within 24 hours. I'm aCommunity Operator or OwnerCommunity Staff MemberFamily MemberGuardianMedical ProviderOther StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin Islands of the U.S.WashingtonWest VirginiaWyoming I would like to be contacted by: PhoneEmail Submit PERSONALIZED ATTENTION. COMPASSIONATE CARE. COLLABORATIVE CLINICAL PROVIDERS Serves as a bridge between a member’s health care providers, the community care team and their family PREVENTIVE CARE Provides tailored care plans, medication reviews and diagnostic testing to members for early detection and to avoid unnecessary hospital visits COMPREHENSIVE CARE COORDINATION Works with all of a member’s providers to monitor their health, coordinate appointments, arrange transportation, and obtain any necessary referrals ASSISTS WITH CARE TRANSITIONS Helps to ensure a smooth and safe transition when our members encounter changes in their living arrangement, to include a discharge to a new care setting CENTRALIZED POINT OF CONTACT Assists members and their loved ones in accessing their benefits, scheduling appointments and educating them on their care plans OVER-THE-COUNTER FLEX CARD ORDER ONLINE WITH NO-COST SHIPPING! Order Now View Catalog TAKE THE NEXT STEP IN ENSURING QUALITY CARE FOR YOUR LOVED ONE. Find a Caregiver FIND A PROVIDER, PHARMACY OR DRUG Search from our database of doctors, hospitals and other health care facilities. You can also find pharmacies or drugs covered by our health plan. Search for a provider or Pharmacy Search for a drug SHOP OUR PLANS Shop for a health plan that fits your needs. . MEMBER RESOURCES Access important documents, forms and directories. . ENROLL TODAY Ready to become a member? Enroll online today. . Align Senior Care is more than a health plan. It’s personal attention to your wellbeing. Align Senior Care is fully owned and operated by Curana Health . Curana Health began reforming the health system in 2013 by enabling leading long-term care providers to launch provider-sponsored managed care plans for vulnerable senior populations. Today we manage Medicare Advantage institutional special needs plans (I-SNPs), chronic care special needs plans (C-SNPs) for dementia, and dual-eligible special needs plans (D-SNPs) to reduce healthcare costs and improve patient quality of life. COMPLIANCE HOTLINE: (844) 317-9059 Align Senior Care has implemented a Compliance Hotline. The Compliance Hotline provides a mechanism for callers to report activity related to known or suspected non-compliance with the law or Align Senior Care Policy. All calls to the Compliance Hotline will be treated as confidential and private to the fullest extent possible. FOR MEMBERS * Plan Documents * Exceptions and Appeals * Out of Network Coverage * My Member Rights * Change My Plan * Interoperability API * Plan Documents * Exceptions and Appeals * Out of Network Coverage * My Member Rights * Change My Plan * Interoperability API FOR PROVIDERS * Join Our Network * About the EZ-NET Portal * Claims * Patient Referral * For Prescribers and Pharmacies * Provider Documents * Clinical Practice Guidelines and Medical Necessity * Join Our Network * About the EZ-NET Portal * Claims * Patient Referral * For Prescribers and Pharmacies * Provider Documents * Clinical Practice Guidelines and Medical Necessity SHOP PLANS * Plan Overview * Service Area * Part D Benefits * Enroll Now * Plan Overview * Service Area * Part D Benefits * Enroll Now DIRECTORIES * Find a Provider or Pharmacy * Find a Drug * Find a Provider or Pharmacy * Find a Drug OTHER INFORMATION * Compliance * Quality * Blog * Compliance * Quality * Blog * ©2022 Align Senior Care. All rights reserved * CMS ID Number: Y0162_ASCWebsite * Last modified: August 14, 2024 * Notice of Non-Discrimination * Privacy Policy * Disclaimers ARCHIVES * July 2023 * April 2023 * March 2023 * February 2023 * December 2022 * November 2022 * September 2022 CATEGORIES * Special Needs Plans * Uncategorized META * Log in * Entries feed * Comments feed * WordPress.org * Facebook * Twitter * Instagram * RSS Designed by Elegant Themes | Powered by WordPress * Shop Plans * For Providers * For Members * For Partners * Blog * Contact Us * Find a provider/pharmacy SELECT A HEALTH PLAN Find a health plan that fits your needs. Select State Where You Live CaliforniaFloridaMichiganVirginia Select Your Plan * PREMIER CARE (HMO I-SNP) A Medicare Advantage Special Needs Plan designed for those living in senior living communmities * ALIGN KIDNEY CARE (HMO C-SNP) A Medicare Advantage Special Needs Plan designed for those living with end stage kidney disease (ESKD). * MEMORY CARE (HMO C-SNP) A Medicare Advantage Special Needs Plan designed for those living with dementia * SENIOR CARE (HMO I-SNP) A Medicare Advantage Special Needs Plan designed for those living in a senior living community. We value you as a member and want to share how your benefits will change, starting April 1,2023.Under the Part B Rebatable Drug Coinsurance Adjustment provision, beginning April 1, 2023, coinsurance for Part B rebatable drugs will be reduced, if the drug’s price has increased at a rate faster than the rate of inflation. CMS will publish the adjusted beneficiary coinsurance for each Part B rebatable drug in the quarterly pricing files posted on the CMS website, as a 0-20% effective coinsurance of the Medicare-approved payment amount. Part B rebatable drugs may be in either of the categories “Chemotherapy administration services to include chemotherapy/radiation drugs” or “Other drugs covered under Part B of original Medicare” listed in § 422.100(j)(1)(i). The list of Part B rebatable drugs as well as the effective beneficiary coinsurance for those drugs could change each quarter. For questions about this document, please contact Member Services at 1-844-305-3879 (California), 1-844-788-8935 (Florida), 1-855-855-0489 (Massachusetts / Virginia) and 1-855-855-0336 (Michigan) for additional information. (TTY users should call 711). Hours are 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through March 31, and Monday to Friday (except holidays) from April 1 through September 30. June 1, 2023 We value you as a member and want to share how your benefits will change, starting July 1,2023. Under the Part B Insulin Cost Sharing Cap, beginning July 1, 2023, Insulin furnished under Part B through an item of durable medical equipment covered under section 1861(n) (i.e., a medically necessary traditional insulin pump), is subject to a beneficiary coinsurance cap for a month’s supply of such insulin (that does not exceed $35 and the Medicare Part B deductible does not apply). For questions about this document, please contact Member Services at 1-844-305-3879 (California), 1-844-788-8935 (Florida), 1-855-855-0489 (Massachusetts / Virginia) and 1-855-855-0336 (Michigan) for additional information. (TTY users should call 711). Hours are 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through March 31, and Monday to Friday (except holidays) from April 1 through September 30. Continue HOW TO FILL OUT THE ENROLLMENT FORM WHO CAN USE THIS FORM? People with Medicare who want to join a Medicare Advantage Plan To join a plan, you must: * Be a United States citizen or be lawfully present in the U.S. * Live in the plan’s service area Important: To join a Medicare Advantage Plan, you must also have both: * Medicare Part A (Hospital Insurance) * Medicare Part B (Medical Insurance) WHEN DO I USE THIS FORM? You can join plan: * Between October 15–December 7 each year (for coverage starting January 1) * Within 3 months of first getting Medicare * In certain situations where you’re allowed to join or switch plans Visit Medicare.gov to learn more about when you can sign up for a plan. WHAT DO I NEED TO COMPLETE THIS FORM? * Your Medicare Number (the number on your red, white, and blue Medicare card) * Your permanent address and phone number Note: You must complete all items in Section 1. The items in Section 2 are optional — you can’t be denied coverage because you don’t fill them out. REMINDERS: * If you want to join a plan during fall open enrollment (October 15–December 7), the plan must get your completed form by December 7. * Your plan will send you a bill for the plan’s premium. You can choose to sign up to have your premium payments deducted from your bank account or your monthly Social Security (or Railroad Retirement Board) benefit. WHAT HAPPENS NEXT? Once they process your request to join, they’ll contact you HOW DO I GET HELP WITH THIS FORM? Call Align Senior Care at 1-844-305-3879 (TTY 711) 1-844-788-8935 (TTY 711) 1-855-855-0336 (TTY 711) 1-855-855-0489 (TTY 711) 1-855-855-0489 (TTY 711). Or, call Medicare at 1-800-MEDICARE (1-800-633- 4227). TTY users can call 1-877-486-2048. En español: Llame a Align Senior Care al 1-844-305-3879 (TTY 711) 1-844-788-8935 (TTY 711) 1-855-855-0336 (TTY 711) 1-855-855-0489 (TTY 711) 1-855-855-0489 (TTY 711) o a Medicare gratis al 1-800-633-4227 y oprima el 2 para asistencia en español y un representante estará disponible para asistirle. INDIVIDUALS EXPERIENCING HOMELESSNESS If you want to join a plan but have no permanent residence, a Post Office Box, an address of a shelter or clinic, or the address where you receive mail (e.g., social security checks) may be considered your permanent residence address. -------------------------------------------------------------------------------- According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1378. The time required to complete this information is estimated to average 20 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. IMPORTANT Do not send this form or any items with your personal information (such as claims, payments, medical records, etc.) to the PRA Reports Clearance Office. Any items we get that aren’t about how to improve this form or its collection burden (outlined in OMB 0938-1378) will be destroyed. It will not be kept, reviewed, or forwarded to the plan. See “What happens next?” on this page to send your completed form to the plan. CONFIRM! You are leaving the Align Senior Care website Confirm PLAN BENEFITS! Select State Where You Live California Florida Michigan Virginia Massachusetts COMING SOON IN 2023 COMING SOON IN 2023 COMING SOON IN 2023 Close