mordel.blogg.se - Healthfirst reward card program form

No Number of Members enrolled in this plan in Indian River, Florida: 324 members Number of Members enrolled in this plan in (H1099 - 014): 7,618 members Plan’s Summary Star Rating.

Number of Drugs per Tier: 251 900 791 619 589 Plan's Pharmacy Search: Plan Offers Mail Order?.

Preferred Pharmacy Cost-Sharing during initial coverage phase: $5.00 $15.00 $45.00 $90.00 33%.

Formulary Drug Details: Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Mail to: Fax to.Ģ018 Medicare Advantage Plan Details Medicare Plan Name: Health First Rewards Plan (HMO) Location: Indian River, Florida Plan ID: H1099 - 014 - 0 Member Services: 1-80 TTY users 1-8Enrollment Options - Medicare Contact Information: 1-800-MEDICARE (1-80) TTY users 1-8Medicare Plan Features - Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $0 Annual Initial Coverage Limit (ICL): $3,750 Health Plan Type: Local HMO Maximum Out-of-Pocket Limit for Parts A & B (MOOP): $6,650 Gap Coverage? No Gap Coverage Total Number of Formulary Drugs: 3,212 drugs This plan has 6 drug tiers. Fill out the Rewards request form as required and mail or fax it to the Healthfirst Rewards Program Team. 2017 Healthfirst Rewards Use your reward card at some of your favorite stores! For a complete list of. You’ll find everything you need to get the most out of your Healthfirst® health plan right here-including important forms specific to your health. 300 points = 5% Reward Discount** 500 points = 10% Reward Discount**.

Health First is running a Reward Card Program.