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    • Interoperability - Patient Data Access
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    Important Disclaimer

    PHP Medicare is an HMO‑POS plan with a Medicare contract. Enrollment in PHP Medicare depends on contract renewal. All PHP Medicare plans include Part D drug coverage.

    PHP Medicare plans allow members to see out-of-network providers (non-contracted providers). While PHP Medicare will pay for certain covered services provided by a non-contracted provider, the provider must agree to treat the member. Except in emergency or urgent care situations, non-contracted providers may deny care. Members may have a higher co-pay or co-insurance for services received by non-contracted providers, with the exception of emergencies. If a member receives care from a provider who is not eligible to participate in Medicare, the member may be responsible for the full cost of services received.

    For more information or assistance, please call Customer Service at 844.529.3757 (TTY: 711). Language assistance services are available, free of charge.

    Every year, Medicare evaluates plans based on a 5-star rating system.

    PHP Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

    H7646_22-518_C - Last updated 08/03/2022

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