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Marketing Disclaimer

Essence is a Medicare Advantage HMO with a Medicare contract. Anyone with Medicare Parts A and B living in our service areas may apply. Members must use Essence plan providers for routine care, and an additional cost may be assessed for using out-of-network providers. Members must continue to pay their Medicare Part A and B premiums.

Essence’s government contract is renewed annually and the availability of coverage beyond the end of 2012 is anticipated but not guaranteed. Enrollment in our plan is limited to specific times of the year. Members must receive prescription drug benefits from Essence, and such benefits are subject to a formulary. In general, members must use network pharmacies to access their prescription drug benefits.

The benefit information provided on certain pages of this site is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. These pages constitute an advertisement; for more information, contact us. Plan documents are available in alternative formats. For more information about Essence benefits or contracted providers/pharmacies, please contact us.

You may be able to get extra help to pay for your prescription drug premiums and costs. If eligible, Medicare could pay for 75% of drug costs including monthly prescription drug premiums, annual deductibles and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or late enrollment penalty. Many people are eligible for these savings and don’t even know it. To see if you qualify for getting extra help, call 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week. Or, call the Social Security Administration at 1-800-772-1213 between 7 am and 7 pm, Monday – Friday. TTY/TDD users should call 1-800-325-0778. Or, call your State Medicaid Office.

The people pictured and/or quoted on this web site were Essence members as of 8/01/2009.

The Medicare program rates how well plans perform in different categories (for example, detecting and preventing illness, ratings from patients and customer service). If you have access to the web, you may use the web tools on www.medicare.gov and select “Compare Medicare Prescription Drug Plans” or “Compare Health Plans and Medigap Policies in Your Area” to compare the plan ratings for Medicare plans in your area. You can also contact us directly to obtain a copy of the plan ratings for this plan.

Y0027_MK1020911B Pending CMS Approval - Information current as of 11/22/2011

Our online enrollment center is not available at this time.

Please contact us at 1-877-709-9168. (TTY 711) Phone lines are open 7 days a week from 8 am until 8 pm. You may receive a messaging service on weekends and holidays from February 15 through October 14.

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Our online enrollment center is not available at this time. Please contact us at 1-877-709-9168. (TTY 711) Phone lines are open 7 days a week from 8 am until 8 pm. You may receive a messaging service on weekends and holidays from February 15 through October 14.

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Important Disclaimers

Essence Healthcare is a Medicare Advantage health maintenance organization with a Medicare contract. All Essence plans include Part D drug coverage. To enroll in an Essence plan, you must have both Medicare Parts A and B and reside in the Essence service area.

Please note that members must continue to pay their monthly Part B premium to Medicare, and that enrollment in an Essence plan is limited to specific times of the year. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or co-payments or co-insurance may change on January 1, 2013. Contact us for more information.

Essence members must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances, and quantity limitations and restrictions may apply. Members must also use plan providers except in emergency or urgent care situations. If you obtain routine care from an out-of-network provider without prior approval from Essence, neither Medicare nor Essence will be responsible for the costs.

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you quality for extra help, call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week. Or, you can call the Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY users should call 1-800-325-0778. Or, call your State Medicaid Office.

The Medicare program has rated how well Essence performs in different categories. You may obtain this information by visiting www.medicare.gov or by calling us. Plan performance summary star ratings are assessed each year and may change from one year to the next.

The members quoted and/or pictured on this site were Essence Members as of July 1, 2011.

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Marketing Disclaimer

Our online enrollment center is not available at this time.

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