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Healthy Generations, the SCFHP Medicare Plan logoorange line for design purposes only
WHAT IS HEALTHY GENERATIONS?

Medicare and Medi-Cal Made Easy for You
Healthy Generations combines your Medicare and Medi-Cal benefits into one single plan, including Medicare Part D prescription drug benefits. This makes it easy for you to get the healthcare you need, working with just one health plan and one set of providers. We make sure that the care you get is thoughtful, with open communications and a shared commitment to your health.

Healthy Generations has formed a network of doctors, specialists, hospitals and pharmacies. You can only use doctors who are part of our network. The health providers in our network can change at any time.

Healthy Generations was designed for people who are eligible for Medi-Cal and Medicare. That means you must be eligible to receive Medi-Cal and have Medicare Part A (hospital insurance) and Part B (medical insurance). You must live in Santa Clara County and use Healthy Generations’ contracted providers for all of your routine care.

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Healthy Generations is a Medicare approved HMO. Santa Clara Family Health Plan is authorized to refuse to renew its annual contract with Centers for Medicare & Medicaid (CMS), the federal agency that runs the Medicare program. CMS may also refuse to renew the contract. That termination or non-renewal may result in termination of the beneficiary's enrollment in Healthy Generations. In addition, Healthy Generations may reduce its service area and no longer offer services in the area where the beneficiary resides. If any of these occur, we will send you advance notice of the changes and your options.

Benefits, formulary, pharmacy, network premium and or co-payments/co-insurance may change from one calendar year to another. Please contact Healthy Generations for details.

 

2009 Plan Materials:
3 dots used as bullet, design purposes onlySummary of Benefits
3 dots used as bullet, design purposes onlyEvidence of Coverage
3 dots used as bullet, design purposes onlyFormulary - Printed
3 dots used as bullet, design purposes onlyUpdated Drug List and Index: Effective June 1, 2009
3 dots used as bullet, design purposes onlyProvider Search - Online
3 dots used as bullet, design purposes onlyPharmacy Directory
3 dots used as bullet, design purposes onlyBenefit Highlights: English
   Spanish, Vietnamese, Chinese
    (pending)

More Information on Healthy Generations:
3 dots used as bulletsAppointed Representative    Instructions
3 dots used as bulletsAppointed Representative
   Form

3 dots used as bulletsGrievance and Appeals    Process
3 dots used as bullet, design purposes onlyPrivacy Notice
3 dots used as bullet, design purposes onlyCoverage determination
    form - for enrollees

3 dots used as bullet, design purposes onlyCoverage determination
    form - for providers


 

3 dots used as bulletsCurrent Members:
1-866-472-3691, TTY 1-800-735-2929. If you have questions on the status of an appeal, determination or other process, please call 1-800-260-2055, (TTY/TDD 1-800-735-2929).

3 dots used as bulletsInterested in joining?
Call 1-888-355-5557, 7 days a week, 8 a.m. – 8 p.m. Pacific Time, (TTY/TDD 1-800-735-2929).

3 dots used as bulletsProviders:
If you have questions on the status of an appeal, determination or other process, please call 1-800-788-2942.

3 dots used as bulletsMedicare Information:
Medicare at 1-800-MEDICARE  (1-800-633-4227),24 hours a day, 7 days a week. TTY/TDD: 1-877-486-2048. Or, visit www.medicare.gov on the web.

H5554_09 2009
Pending CMS Approval

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Santa Clara Family Health Plan 2009
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