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Planes Medicare Advantage Planes Medicare Advantage Directorio de farmacias 2018 Área de servicio del Programa Medicare Advantage de Prescripción de Medicamentos (Medicare Advantage Prescription Drug, MAPD): Condados de Bronx, Erie, Kings, New York, Nassau, Niagara, Queens, Richmond y Rockland Área de servicio de los Planes para Necesidades Especiales con Elegibilidad Doble (Dual Eligible Special Needs Plans, DSNP): Condados de Bronx, Kings, New York, Queens y Richmond Área de servicio de los Planes Institucionales de Necesidades Especiales (Institutional Special Needs Plans, ISNP):Condados de Bronx, Erie, Kings, New York, Niagara, Queens, Richmond y Rockland Este directorio está actualizado a marzo de 2018. Para obtener más información o para inscribirse Llame al 1-877-940-9330 (sin costo) Usuarios de TTY 1-800-421-1220 Los siete días de la semana, de 8 a.m. a 8 p.m. [email protected] www.centersplan.com/plans H6988_ENR1080 Aceptado el 12122017 Language Assistance Services Notification ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-877-940-9330 (TTY: 1-800-421-1220). KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-877-940-9330 (TTY: 1-800-421-1220). ﻣﻠﺣوظﺔ: إذا ﻛﻧت ﺗﺗﺣدث اذﻛر اﻟﻠﻐﺔ، ﻓﺈن ﺧدﻣﺎت اﻟﻣﺳﺎﻋدة اﻟﻠﻐوﯾﺔ ﺗﺗواﻓر ﻟك ﺑﺎﻟﻣﺟﺎن. اﺗﺻل ﺑرﻗم 1-9330-940-877 (رﻗم ھﺎﺗف اﻟﺻم واﻟﺑﻛم: 800-421-1220-1). ল�뷍 ক쇁নঃ যিদ আপিন বাংলা, কথা বলেত পােরন, তাহেল িনঃখরচায় ভাষা সহায়তা পিরেষবা উপল� আেছ। েফান ক쇁ন ১-877-940- 9330 (TTY: ১-800-421-1220)। 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-877-940-9330（TTY： 1-800-421-1220）。 ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-877-940-9330 (ATS : 1-800-421-1220). ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-877-940-9330 (TTY: 1-800-421-1220). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-877-940-9330 (TTY: 1-800-421-1220). ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-877-940-9330 (TTY: 1-800-421-1220). 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877- 940-9330 (TTY: 1-800-421-1220)번으로 전화해 주십시오. UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-877-940-9330 (TTY: 1-800-421-1220). ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-877-940-9330 (телетайп: 1-800-421-1220). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-940-9330 (TTY: 1-800-421-1220). H6988_MKT4036 Accepted 10182016 i PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-877-940-9330 (TTY: 1-800-421-1220). ﺧﺑردار: اﮔر آپ اردو ﺑوﻟﺗﮯ ﮨﯾں، ﺗو آپ ﮐو زﺑﺎن ﮐﯽ ﻣدد ﮐﯽ ﺧدﻣﺎت ﻣﻔت ﻣﯾں دﺳﺗﯾﺎب ﮨﯾں ۔ ﮐﺎل ﮐرﯾں 1-877-940- 9330 (TTY: 1-800-421-1220). אויפמערקזאם: אויב איר רעדט אידיש, זענען פארהאן פאר אייך שפראך הילף סערוויסעס פריי פון אפצאל. רופט .1-877-940-9330 (TTY: 1-800-421-1220) ii Aviso de no discriminación La discriminación contraviene la ley Centers Plan for Healthy Living, LLC cumple con todas las leyes federales de derechos civiles y no discrimina a las personas por su raza, color, país de origen, edad, discapacidad o sexo. Centers Plan for Healthy Living, LLC no excluye a las personas o las trata de manera diferente debido a su raza, color, país de origen, edad, discapacidad o sexo. Centers Plan for Healthy Living, LLC ofrece: Servicios y auxilios gratuitos a personas con discapacidades que les impidan comunicarse efectivamente con nosotros, como: o Intérpretes calificados en lenguaje de señas o Información por escrito en otros formatos (letras grandes, audio, formatos electrónicos accesibles y otros formatos) Servicios lingüísticos gratuitos para personas cuyo idioma principal no es el inglés, como: o Intérpretes calificados o Información por escrito en otros idiomas Si usted necesita estos servicios, comuníquese con Servicios para Miembros/Participantes, al 1-844-274-5227 (los usuarios de TTY deben llamar al 1-800-421-1220 or 711). Si considera que Centers Plan for Healthy Living, LLC no ha prestado estos servicios o lo discriminó de alguna otra forma por su raza, color, país de origen, edad, discapacidad o sexo, puede presentar un reclamo ante nuestro Departamento de Reclamos y Apelaciones: Por correo: Centers Plan for Healthy Living, LLC Attn: G&A Department 75 Vanderbilt Avenue Staten Island, NY 10304- 2604 Por teléfono: 1-844-274-5227 (los usuarios de TTY deben llamar al 1- 800-421-1220) Por fax: 1-347-505-7089 H6988_NMKT3035 Accepted 09222016 iii Por correo electrónico: [email protected] Puede presentar un reclamo en persona, por correspondencia, fax o correo electrónico. Si usted necesita ayuda para presentar un reclamo, los Servicios para Miembros/Participantes están disponibles para ayudarlo los siete días a la semana, de 8 a.m. a 8 p.m. También puede presentar un reclamo de derechos civiles ante el Departamento de Salud y Servicios Humanos de los Estados Unidos, Oficina de Derechos Civiles, por vía electrónica a través del portal de reclamaciones de la Oficina de Derechos Civiles, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o por correo o telefónicamente al: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Los formularios para reclamos están disponibles en http://www.hhs.gov/ocr/office/file/index.html. (Última actualización 22 de septiembre de 2016) H6988_NMKT3035 Accepted 09222016 iv Centers Plan for Medicare Advantage Care (HMO) Centers Plan for Nursing Home Care (HMO SNP) Centers Plan for Dual Coverage Care (HMO SNP) Centers Plan for Medicaid Advantage Plus (HMO SNP) Directorio de farmacias 2018 Este directorio de farmacias fue actualizado en marzo de 2018. Para información más reciente o para preguntas, póngase en contacto con Centers Plan for Healthy Living al 1-877-940-9330 o, para usuarios de TTY, al 1-800-421-1220 los siete días de la semana de 8:00 a.m. a 8:00 p.m., o visite www.centersplan.com.. Introducción Este manual proporciona una lista de farmacias de la red de Centers Plan for Medicare Advantage Care (HMO), Centers Plan for Nursing Home Care (HMO SNP), Centers Plan for Medicaid Advantage Plus (HMO SNP) and Centers Plan for Dual Coverage Care (HMO SNP). Para obtener una descripción completa de su cobertura de recetas, incluso acerca de cómo reabastecer sus recetas, revise la evidencia de cobertura y el vademécum de Centers Plan for Medicare Advantage Care (HMO), Centers Plan for Nursing Home Care (HMO SNP) Centers Plan for Medicaid Advantage Plus (HMO SNP) and Centers Plan for Dual Coverage Care (HMO SNP). Cuando el directorio de farmacias se refiera a "nosotros", "nos" o "nuestro", se refiere a Centers Plan for Healthy Living. Cuando menciona “plan” o “nuestro plan”, se refiere a Centers Plan for Medicare Advantage Care (HMO), Centers Plan for Nursing Home Care (HMO SNP), Centers Plan for Medicaid Advantage Plus (HMO SNP) and Centers Plan for Dual Coverage Care (HMO SNP) Llamamos a las farmacias de esta lista "farmacias de la red" porque acordamos con ellas el suministro de medicamentos de receta a los miembros del Plan. En la mayoría de los casos, sus recetas las cubren Centers Plan for Medicare Advantage Care (HMO), Centers Plan for Nursing Home Care (HMO SNP) and Centers Plan for Dual Coverage Care (HMO SNP) solamente si se reabastecen en una farmacia de la red [o a través de nuestro servicio farmacéutico de órdenes en línea]. Una vez que vaya a una farmacia, no necesita seguir yendo al mismo lugar para reabastecer su medicamento de receta, sino que puede ir a cualquier otra farmacia de la red. Reabasteceremos las recetas en las farmacias fuera de la red bajo ciertas circunstancias como se describe en su evidencia de cobertura. Puede que no estén enumeradas todas las farmacias de la red en este directorio. Puede que se hayan incluido o retirado farmacias de esta lista, después de que se imprimiera el directorio. Esto quiere decir que las farmacias enumeradas en este directorio podrían no formar parte de nuestra red, así como también podría haber nuevas farmacias en nuestra red que no estén enumeradas. Esta lista está H6988_ENR1080 Accepted 11062017 v vigente desde el 1° de marzo de 2018. Para obtener la lista más reciente, por favor contáctenos. Nuestra información de contacto aparece en la portada y la contraportada. Puede solicitar que se envíen medicamentos directamente hasta su casa a través de nuestro programa de entregas de órdenes por correo de la red. Para obtener más información, por favor, contáctenos o revise la sección de órdenes por correo de este directorio de farmacias. Este directorio es para los cinco condados de New York City y los condados de Erie, Niagara, Rockland y Nassau que incluyen el área en la que usted vive. Sin embargo, cubrimos un área de servicio más grande y hay más farmacias donde puede que nuestro Plan cubra sus medicamentos de receta. Para obtener información acerca de las otras farmacias en nuestra red del plan que no estén enumeradas en este directorio, contacte a nuestros Servicios al Miembro al 1-877-940-9330 o para los usuarios de TTY 1-800-421-1220, los siete días de la semana, de 8:00 a.m.
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