Molina Medicare Options (HMO)

Yá'át'ééh Molina Medicare Yootóodi Hahoodzodiígíí

2012góó yihahgo, Molina Medicare Yootó Hahoodzodi binidi'a' t'ááła'í (1) dooleeł. Molina Medicare Options ('Ał'aa 'Át'áo Binidi'a')(HMO) Bernalillo, Doña Ana, Luna, McKinley, Otero, Sandoval, San Juan, Santa Fe, Sierra, Torrance, dóó Valencia hadahoodzodi dahólóo doo. (Service Area Map)(Molina Binaanish Hahoodzoh)

Molina Medicare 'anohtahgo dóó na'ídółkidgo, t'ááshoodí koji' hodoołnih:

Molina Medicare
1-866-440-0127

Damóo Biiłkáhí d́óó – Damóoji',
8:00di Abínigo dóó -8:00di 'E'e'ááhji'
Yootó Hahoodzo 'Oolkiłgi

Nááná ła' saadjí t'áájíík'eh baa hane'. T'ááshoodí hózhó 'áká'a'ayeed ninízingo, binombo 'éí, 1-866-440-0127 TTY dóó 1-800-346-4128 Damóo Biiłkáhí d́óó – Damóoji', 8:00di Abínigo dóó -8:00di 'E'e'ááhji' Yootó Hahoodzo 'Oolkiłgi.

New Mexico Plan Rating (Yootó Binidi'a' Haa'ígi Naalkidígíí)

Medicarejí biká'a'ayeedígíí Medicare dóó Medicaid Online Enrollment Centerdi ha'didoołííł, Hwe'égi http://www.medicare.gov.

Medicare Dóó Ni

'Aanáhátí Bee Ha'dilne'ii

'Aanáhátí Yił Naalnishí

Molina Medicare 'Ał'aa 'Át'áo Binidi'a' (HMO)

Molina Medicare 'Ał'aa 'Át'áo Binidi'a' (HMO) Bila'asdla'ii Medicare bee dahólónígíí 'éí Medicare Advantage Prescription Drug plan wolyé. Medicare 'Áłtsé bee 'áka'a'ayeed biyi'yéé t'ah bilááhgo biyi' silá. Naaltsoos hóyahdiígíí nahíléhígii, łahdóó nahíléhígíí, ładóó insoosh yee 'áká'anáwo'ii dóó łahji' bee 'áká'adoowoł bídadééti'ígíí yaah halne'.

· 2012 Benefits At A Glance (2012 Bee 'Áka'a'ayeed Tsxííł Nélínígíí)

Molina Medicare 'Ał'aa 'Át'áo Binidi'a' (HMO)

Bila'asdla'ii Medicare bee dahólónígíí 'éí Medicare Advantage Prescription Drug plan wolyé. Medicare 'Áłtsé bee 'áka'a'ayeed biyi'yéé t'ah bilááhgo biyi' silá. Molina Medicare Options (HMO) nihá'ahóóti' doo díí hólóogo:

· Medicare Part A neehólóogo, dóó;

· Medicare Pare B dóó łahji' t'áá na'iyíléego, doodago ́éí Medicare doodago nánáłahdéé'go na'íyáago

· Monlinagi hahoodzoh bii' kééhonoht'íigo service area (Naanish Bił Hahoodzo)

Molina Medicare 'Ał'aa 'Át'áo Binidi'a' (HMO) bee 'áká'a'ayeed hózhó shił bééhodoozííł nohsingo, t'ááshoodi Plan Material nishtł'ajígo honíti'ígíí bił 'adidíílchił. Díí yaah halne' doo:

· Enrollment form (Ha'dilnééh Binaaltsoos) - T'ááshoodí nahat'á 'anítah dooleełgo díí naaltsoos ́ałtso hadílééh. Naaltsoos hadilnééh bee shíká'adoowoł nisingo, t'ááshoodí Molina Medicare bich'i' hodíílnih 1-866-403-8293 (TDD/TTY:1-800-346-4128, 8:00di Abínigo dóó -8:00di 'E'e'ááhji. Damóo Biiłkáhí d́óó – Damóoji'. Molina Medicare 'Ał'aa '́Át'áo Binidi'a' (HMO) haa'ígi yihahígíí biyi' hááda'diliihgo ha'di'díílííł.*

· Ha'dilnééh Binaaltsoos (Diné k'ehjí baa hane' hodíína'go hólóo doo)

· Bik'ehgo Ha'dilnééhígíí (Diné k'ehjí baa hane' hodíína'go hólóo doo)

· Evidence of Coverage (EOC) ('Ak'e'ésti' Bee Bééhózinígíí)- EOC Ná'ahóóti', bee niká'adoowołii, dóó naah siláa dooígíí Molina Medicare 'anítahgo ná yaa halne'. 'Áádóó 'ałdó' nihí nihaa siláa dooígíí yaa halne'.

ANOC (Diné k'ehjí baa hane' hodíína'go hólóo doo)
EOC (Diné k'ehjí baa hane' hodíína'go hólóo doo)

· Summary of Benefits (SB)/Provider Directories (Bee 'Ák'á'a'ayeed Tsxííł Yaa Halne'ígíí (SB)/ 'Azee' 'Álí Yaa Halne'ígíí) - Bee níká'a'ayeed nahat'á nahíléhígii, bee 'áká'adoowoł nídadéét'i'ígíí, łahdóó nahíléhígíí, ładóó inshoosh yee 'áká'anáwoł'ii k'ad yihah bi'ígíí yaah halne'. Provider Directories 'Azee' 'Ííłíní, 'Ał'áá 'Aa'ádahalyáanii, 'Azee' 'Ádaalí, 'Azee' Nideikáhí Bił Nahaz'á, Baah Dahnahaz'á Nidaadziih Bił Nahaz'á, dóó łahdóó 'áká'anáwo' yaa halne'.

Bee 'Áká'a'ayeed Yaa Halne'ígíí (Diné k'ehjí baa hane' hodíína'go hólóo doo)
'Azee' 'Ádeiłíní / 'Azee' 'Aadaha'nííł Yaah Halne'é (Diné k'ehjí baa hane' hodíína'go hólóo doo)
Łahdóó 'Áká'adaalwo' Yaah Halne'é (Diné k'ehjí baa hane' hodíína'go hólóo doo)

· Low Income Subsidy (LIS) Chart (Doo La'í Bich'i' Na'iilyéhígíí (LIS) Yaa Halne'é) - Díí Nahaz'á yaah halne'ígíí łahdóó Medicare niká'anáwo'go 'azee' yik'éna'iyíléhígíí ninádízíidgo 'ałááh nahaléhígíí yaah halne'.

LIS Nahaz'á Yaahalne'ígíí (Diné k'ehjí baa hane' hodíína'go hólóo doo)

· Forms ('Ałaah Naaltsoos Hadadilne'ígíí)– Díí naaltsoos hadadilne'ígíí da níka'adoolwoł dóó kwe'é hółó: Naaltsoos Appointment of Representative (CMS-1696) wolyéhígíí, Naaltsoos Coverage Determination Request wolyéhígíí, Naaltsoos Drug Determination Request wolyéhígíí, Naaltsoos How to Request a Re-Determination, dóó Pharmacy Direct Member Reimbursement wolyéhígíí.

· HIPAA, American Health Insurance Portability and Accountability Act of 1996 'ááh yiłnínígíí, 'éí beehaz'áanii 'azee' 'ííłíní, 'azee' 'álí dóó ła' yiká 'andaajahígíí yik'ehgo 'áda'ałí.

Notice of Privacy Practice (Naaltsoos Haa'alne' Chooínígíí) - Díí naaltsoos ni'azee' 'álíidi nádáhígíí hait'áo choidoo'iił dóó háí deiníłíi doogo yaa halne'. Dóó hait'áo díí naahane' yidooltsołígíí 'ałdó' yaa halne'.

Contact HIPAA (HIPAA Bił Hodíílnih) - Díí bił 'adilchi' hait'áo HIPAA nihił hahoodzo bił haz'ánígíí yaah halne'.

Bida'oolkaah bił haz'á nihíhígíí biyi naaltsoos bééda'doolníłígíí hóló jókeedgo ła' béézhdoodlííł.

*Díí nahat'áájí ha'didíílííłgo 'át'é Niháhah Haada'diiliih Ghááji 15gi dóó Niłch'itsoh 7ji' yoołkáłígíí biyi'.

icon PDF Adobe Acrobat Reader hólóogo t'éiyá díí naaltsoos hódahdiígíí dínóóliił. Download (Nídidoolyéłígíí) t'áájík'eh hach'i' kódoolnííł.