Updated October 2013
Dear CareSource Member,
To make a change in the Medicare Advantage plan you have with CareSource/Mid Rogue Health Plan, fill out the enclosed plan selection form to make your choice. Check off the plan you want, and sign the form. Then mail the completed form back to us by December 7th, 2013.
Please be aware that you can change health plans only at certain times during the year. Between October 15th and December 7th each year, anyone can join our plan. In addition, from January 1 through February 14, anyone enrolled in a Medicare Advantage Plan (except an MSA plan) has an opportunity to disenroll from that plan and return to Original Medicare. Anyone who disenrolls from a Medicare Advantage plan during this time can join a stand-alone Medicare Prescription Drug plan during the same period. Generally, you may not make changes at other times unless you meet certain special exceptions, such as if you move out of the plan’s service area, want to join a plan in your area with a 5-star rating, or qualify for extra help paying for prescription drug coverage.
If you qualify for extra help with your prescription drug costs you may enroll in, or disenroll from, a plan at any time. If you lose this extra help during the year, your opportunity to make a change continues for two months after you are notified that you no longer qualify for extra help.
If you select another plan and we receive your completed selection form by December 7, 2013, your new benefit plan will begin in January, 2014. Your monthly plan premium will depend on which plan you choose, and you may continue to see any CareSource primary care doctor and specialists.
Complete the attached form only if you wish to change plans.
To help you with your decision, we have also included a 2014 Summary of Benefits for the available options.
If you have any questions, please call CareSource at 541-471-4106, or 1-888-460-0185. TTY/TDD users should call 1-800-735-2900. We are open Monday–Friday, 8 a.m. to 5 p.m. Calls are answered from 8 a.m. to 8 p.m., seven days a week.
Freddy Sennhauser Marketing Director CareSource/Mid Rogue Health Plan