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Desert Preferred Choice (HMO) H0545_FUY2017_046 Accepted It’s Personal. Plan Provider & Pharmacy Directory Proveedores del Plan y Directorio de Farmacias

Plan Provider & Pharmacy Directory Proveedores del · PDF file2017 Desert Preferred Choice (HMO) H0545_FUY2017_046 Accepted. It’s Person al. Plan Provider & Pharmacy Directory Proveedores

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  • 2017Desert Preferred Choice (HMO)

    H0545_FUY2017_046 Accepted

    Its Personal.

    Plan Provider &Pharmacy Directory

    Proveedores del Plan yDirectorio de Farmacias

  • This directory provides a list of Inter Valley Health Plan Desert Preferred Choice (HMO) network providers.

    This directory is current as of 09/08/2016. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Inter Valley Health Plan Desert Preferred Choice (HMO) network providers in your area, visit our web site at www.ivhp.com or call our Member Care Team at 800-251-8191, between the hours of 7:30 am and 8:00 pm, 7 days a week. TTY 711.

    Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2017. You must continue to pay your Medicare Part B premium.

    Inter Valley Health Plan is a not-for-profit company and a Medicare Advantage Organization with a Medicare contract.

    Members may enroll in the plan only during specific times of the year. Contact Inter Valley Health Plan for more information at 800-251-8191 or TTY 711 7:30 am to 8:00 pm, 7 days a week.

    This document is available in alternate formats or languages, please contact our Member Care Team at 800-251-8191 or TTY 711.

    Usted puede obtener este document o en diferente idioma o formato. Por favor llamenos y pregunte por member services al telefono: 800-251-8191 o TTY 711.

    Inter Valley Health Plan is a not-for-profit HMO with a Medicare contract. Enrollment in InterValley Health Plan depends on contract renewal. Anyone entitled to Part A and enrolled in Part B may apply, including those under the age of 65 entitled to Medicare on the basis of Social Security disability benefits. If you do not have Medicare Part A, you may purchase it from the Social Security. Members must continue to pay Medicare Part B Premium.

  • SECTION 1 IntroductionThis directory provides a list of Inter Valley Health Plan Desert Preferred Choice (HMO) plan providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

    You will have to choose one of our plan providers that are listed in this directory to be your Primary Care Physician (PCP). The term PCP will be used throughout this directory. Generally, you must get your health care coverage from your PCP. The plan providers listed in this directory have agreed to provide you with your health care coverage. You may go to any of our plan providers listed in this directory; however some services may require a referral. If you have been going to one plan provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-plan providers.

    You will get most of your routine or basic care from your PCP. Your PCP will be your personal physician who will also coordinate the rest of the covered services you get as a member of our Plan. For example, in order for you to see a specialist, you will need to get your PCPs approval first (this is called getting a referral to a specialist). Your PCP will provide most of your care and will help you arrange or coordinate the rest of the covered services you get as a member of our Plan.

    When you choose your PCP, you are also choosing the hospital(s) and specialist(s) contracted with the medical group your PCP utilizes.

    You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor Inter Valley Health Plan Desert Preferred Choice (HMO) will be responsible for the costs.

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  • What is the service area for Inter Valley Health Plan?

    Inter Valley Health Plan Desert Preferred Choice (HMO) is available to eligible Medicare Beneficiaries who live in the zip codes listed below for Riverside County.

    The parts of counties in our service area are listed below:

    Riverside County, the following zip codes only:9 1 7 5 2 , 9 2 0 2 8 , 9 2 2 0 1 , 9 2 2 0 2 , 9 2 2 0 3 , 9 2 2 1 0 , 9 2 2 1 1 , 9 2 2 2 0 , 9 2 2 2 3 , 9 2 2 3 0 , 9 2 2 3 4 , 9 2 2 3 5 , 9 2 2 3 6 , 9 2 2 4 0 , 9 2 2 4 1 , 9 2 2 4 7 , 9 2 2 4 8 , 9 2 2 5 3 , 9 2 2 5 5 , 9 2 2 5 8 , 9 2 2 6 0 , 9 2 2 6 1 , 9 2 2 6 2 , 9 2 2 6 3 , 9 2 2 6 4 , 9 2 2 7 0 , 9 2 2 7 6 , 9 2 2 8 2 , 9 2 2 9 2 , 9 2 3 2 0 , 9 2 3 2 4 , 9 2 3 7 3 , 9 2 3 9 9 , 9 2 5 0 1 , 9 2 5 0 2 , 9 2 5 0 3 , 9 2 5 0 4 , 9 2 5 0 5 , 9 2 5 0 6 , 9 2 5 0 7 , 9 2 5 0 8 , 9 2 5 0 9 , 9 2 5 1 3 , 9 2 5 1 4 , 9 2 5 1 5 , 9 2 5 1 6 , 9 2 5 1 7 , 9 2 5 1 8 , 9 2 5 1 9 , 9 2 5 2 1 , 9 2 5 2 2 , 9 2 5 3 0 , 9 2 5 3 1 , 9 2 5 3 2 , 9 2 5 3 6 , 9 2 5 3 9 , 9 2 5 4 3 , 9 2 5 4 4 , 9 2 5 4 5 , 9 2 5 4 6 , 9 2 5 4 8 , 9 2 5 4 9 , 9 2 5 5 1 , 9 2 5 5 2 , 9 2 5 5 3 , 9 2 5 5 4 , 9 2 5 5 5 , 9 2 5 5 6 , 9 2 5 5 7 , 9 2 5 6 1 , 9 2 5 6 2 , 9 2 5 6 3 , 9 2 5 6 4 , 9 2 5 6 7 , 9 2 5 7 0 , 9 2 5 7 1 , 9 2 5 7 2 , 9 2 5 8 1 , 9 2 5 8 2 , 9 2 5 8 3 , 9 2 5 8 4 , 9 2 5 8 5 , 9 2 5 8 6 , 9 2 5 8 7 , 9 2 5 8 9 , 9 2 5 9 0 , 9 2 5 9 1 , 9 2 5 9 2 , 9 2 5 9 3 , 9 2 5 9 5 , 9 2 5 9 6 , 9 2 5 9 9 , 9 2 8 6 0 , 9 2 8 7 7 , 9 2 8 7 8 , 9 2 8 7 9 , 9 2 8 8 0 , 9 2 8 8 1 , 9 2 8 8 2 , 9 2 8 8 3 .

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  • How do you find Inter Valley Health Plan providers in your area?

    The providers in this directory are listed by county. Please refer to your county of residence to locate the contracted providers and hospitals closest to your home.

    This directory gives you a listing of Primary Care Physicians, Specialists, Urgent Care Centers and Hospitals available within our provider network. The directory also lists additional languages spoken in the PCPs office and if the PCP is accepting new patients.

    The table of contents and index will guide you through the sections of this directory.

    The PCPs are listed by Provider Group and alphabetically by the following categories:

    FAMILY MEDICINE

    GENERAL PRACTICE

    INTERNAL MEDICINE

    If you have questions about Inter Valley Health Plan, please call our Member Care Team at 800-251-8191, between the hours of 7:30 am and 8:00 pm, 7 days a week. TTY users should call 711. Or, visit www.ivhp.com.

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    www.ivhp.com

  • Este directorio ofrece una lista de los proveedores de la red del plan Desert Preferred Choice (HMO) de Inver Valley Health Plan.

    El directorio est vigente a partir del 09/08/2016. Es posible que se hayan agregado o eliminado proveedores a nuestra red despus de la impresin de este directorio. No garantizamos que cada proveedor todava est aceptando miembros nuevos. Para obtener la informacin ms actualizada sobre los proveedores de su rea del Plan Desert Preferred Choice (HMO) de Inter Valley Health Plan, visite nuestro sitio web en www.ivhp.com, o llame a nuestro Departamento de Servicios para Miembros al 800-251-8191, entre las 7:30 a.m. y las 8:00 p.m., los siete das de la semana. Los usuarios de TTY/ 711.

    Los beneficiarios deben usar farmacias de la red para acceder al beneficio de medicamentos recetados. Los beneficios, el formulario, la red de farmacias, la prima y/o los copagos y el coseguro pueden cambiar el 1 de enero de 2017. Usted debe continuar pagando su prima de la Parte B de Medicare.

    Inter Valley Health Plan es una organizacin sin fines de lucro y una organizacin Medicare Advantage que tiene un contrato de Medicare.

    Los miembros se pueden inscribir en el plan nicamente durante momentos especficos del ao. Para obtener ms informacin, comunquese con Inter Valley Health Plan al 800-251-8191 o TTY711, de 7:30 a.m. a 8:00 p.m., los siete das de la semana.

    Este documento est disponible en otros formatos o idiomas. Para solicitarlos, comunquese con el Equipo de Atencin a Miembros al 800-251-8191 o TTY 711.

    Usted puede obtener este documento en diferente idioma o formato. Por favor llmenos y pregunte por los Servicios para Miembros al telfono: 800-251-8191 o TTY 711.

    Inter Valley Health Plan es una Organizacin para el Mantenimiento de la Salud (HMO) sin fines de lucro con un contrato de Medicare. La inscripcin en Inter Valley Health Plan depende de la renovacin del contrato. Cualquier persona con derecho a la Parte A e inscrita en la Parte B puede hacer una solicitud, incluyendo a los menores de 65 aos con derecho a Medicare en base a los beneficios por incapacidad del Seguro Social. Si usted no tiene la Parte A de Medicare, puede comprarla a travs de Seguridad Social. Los miembros deben continuar pagando la Prima de la Parte B de Medicare.

    http://www.ivhp.com

  • SECCIN 1 Introduccin Este directorio ofrece una lista de los proveedores del Plan Desert Preferred Choice (HMO) de Inter Valley Health Plan. Para obtener informacin detallada sobre su cobertura de atencin mdica, consulte su Evidencia de Cobertura.

    Tendr que elegir a uno de nuestros proveedores del plan que figura en este directorio como su Mdico de Atencin Primaria (PCP, por sus siglas en ingls). En todo este directorio se usar el trmino PCP. Por lo general, usted debe obtener la cobertura de atencin mdica de su PCP. Los proveedores del plan indicados en este directorio han aceptado proporcionarle cobertura de atencin mdica. Usted puede atenderse con cualquiera de los proveedores de nuestro plan que figuran en este directorio; sin embargo, algunos servicios pueden requerir una derivacin. Si se ha estado atendiendo con un proveedor del plan, no est obligado a continuar atendindose con el mismo proveedor. En algunos casos, puede obtener se