alignseniorcare.com Open in urlscan Pro
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Effective URL: https://alignseniorcare.com/
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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


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You can also find pharmacies or drugs covered by our health plan.

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MEMBER RESOURCES

Access important documents, forms and directories.
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Ready to become a member? Enroll online today.

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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.

 



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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.


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