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Submitted URL: https://auth.perennialadvantage.com/
Effective URL: https://perennialadvantage.com/
Submission: On August 13 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://perennialadvantage.com/
Submission: On August 13 via automatic, source certstream-suspicious — Scanned from DE
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</form>Text Content
Press Alt+1 for screen-reader mode, Alt+0 to cancelAccessibility Screen-Reader Guide, Feedback, and Issue Reporting * Shop Plans * For Providers * For Members * Contact Us * Find a Provider/Pharmacy Select Page * Shop Plans * For Providers * For Members * Contact Us * Find a Provider/Pharmacy 2024 Provider System Change Updates Change Healthcare Outage Updates PERSONALIZED ATTENTION. BETTER LIVING. More than a health plan – it is a peace of mind. Find a Provider/Pharmacy Shop Plans REQUEST A PLAN COMPARISON 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 DESIGNED TO BRING CARE AND SERVICES TO YOU. PREVENTIVE CARE VISITS Frequent visits from our Primary Care Provider (PCP) in the comfort of your home DIAGNOSTIC TESTING & TREATMENT On-site diagnostic test capabilities for early identification and treatment COMPREHENSIVE CARE COORDINATION Works with all your providers to monitor your health plus coordinates appointments and referrals MEDICATION REVIEW & MONITORING Monitor your medications to avoid drug interactions and unnecessary hospital visits CENTRALIZED POINT OF CONTACT Helps members and their loved ones take advantage of their benefits, set up appointments and explain care plans OVER-THE-COUNTER FLEX CARD ORDER ONLINE WITH NO-COST SHIPPING! Order Now View Catalog FIND A PROVIDER, PHARMACY OR DRUG Search our database of doctors, hospitals and other health care facilities. You can also find pharmacies or drugs covered by our health plan. Go TO Directory Go TO Formulary 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. . Perennial Advantage is more than a health plan. It’s personal attention to your wellbeing. Perennial Consortium, LLC was formed in 2019 when three prominent senior living providers Christian Living Communities (Englewood, Colorado), Juniper Communities (Bloomfield, New Jersey) and Ohio Living (Columbus, Ohio), and managed services partner and risk management company AllyAlign Health (Glen Allen, Virginia) joined forces to form Perennial Advantage, an operator-owned Medicare Advantage (MA) network. The Perennial Advantage mission is to provide better outcomes, greater satisfaction and contained health care costs by re-orienting the provision of healthcare services to preventive lifestyle and chronic care management in a residential care. Perennial Advantage is available in Colorado and Ohio servicing residents in over 42 accredited locations Perennial Advantage offers three health plans with tailored benefits for overall wellbeing – Perennial Advantage Strive (HMO I-SNP), Perennial Advantage Concierge (HMO C-SNP), and Perennial Advantage Freedom (HMO). FOR MEMBERS * Plan Documents * Exceptions and Appeals * Out of Network Coverage Rules * Member Rights and Responsibilities * Cancel My Enrollment * Interoperability API * Plan Documents * Exceptions and Appeals * Out of Network Coverage Rules * Member Rights and Responsibilities * Cancel My Enrollment * Interoperability API FOR PROVIDERS * Provider Documents * About the EZ-NET provider Portal * Join Our Network * Claims and Billing * Referrals * Prescribers and Pharmacies * Provider Documents * About the EZ-NET provider Portal * Join Our Network * Claims and Billing * Referrals * Prescribers and Pharmacies SHOP PLANS * Plan Overview * Service Area * Part D Benefits * Enrollment Documents * Plan Overview * Service Area * Part D Benefits * Enrollment Documents DIRECTORIES * Find a Provider or Pharmacy * Find a Drug * Find a Provider or Pharmacy * Find a Drug OTHER INFORMATION * Compliance * Quality * Contact Us * Compliance * Quality * Contact Us * 2022 Perennial Advantage. All rights reserved * CMS ID Number: H8797_PAWebsite & H3417_PAWebsite * Last modified: August 13, 2024 PM ET * Notice of Non-Discrimination * Privacy Policy * Disclaimers ARCHIVES * February 2021 CATEGORIES * 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 * Contact Us * Find a Provider/Pharmacy SELECT A HEALTH PLAN Find a health plan that fits your needs. Select State Where You Live ColoradoOhio Select Your Plan * PERENNIAL ADVANTAGE PREMIER (HMO I-SNP) A Medicare Advantage Special Needs Plan designed for those living in long-term care or assisted living communities with Medicare Part A and B. * PERENNIAL ADVANTAGE FREEDOM (HMO) A Medicare Advantage Plan designed for those with Medicare Part A and Part B who live in our service area. * PERENNIAL ADVANTAGE STRIVE (HMO I-SNP) A Medicare Advantage Special Needs Plan designed for those living in senior living communities with Medicare and Medicaid. FIND A PHARMACY Let's find your plan's documents Select State Where You Live Ohio Colorado Select Your Plan * ALIGN THRIVE (HMO I-SNP) Available to Medicare Beneficiaries who meet the requirements for long-term care eligibility. * ALIGN CONNECT (HMO C-SNP) Available to Medicare beneficiaries with a diagnosis of dementia. 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 Perennial Advantage at 1-844-788-6959 (YTT 711) 1-844-788-6986 (YTT 711). Or, call Medicare at 1-800-MEDICARE (1-800-633- 4227). TTY users can call 1-877-486-2048. En español: Llame a Perennial Advantage al 1-844-788-6959 (YTT 711) 1-844-788-6986 (YTT 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. 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 1-844-788-6986 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 1-844-788-6986 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. 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 1-844-788-6959 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 1-844-788-6959 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 CONFIRM! You are leaving the Perennial Advantage website Confirm