This booklet, together with your enrollment
form
and
any amendments that we may send to you, is our contract
with you. It explains your rights, benefits, and
responsibilities as a member
of
Molina Medicare.
It also explains our responsibilities to you.
The information in this booklet is in effect for the
time period from January 1, 2008, through December 31,
2008.
This booklet gives you the
details about:
What is covered in Molina Medicare
and what is not covered.
How to get the care you need, including some
rules you must follow.
What you will have to pay for your health plan.
What to do if you are unhappy about something
related to getting your covered services.
How to leave Molina Medicare, and other Medicare
options that are available.
You must follow all the
rules and procedures in this Evidence of Coverage
booklet.
If you
need to receive this booklet in a different format
(such as in Spanish), please call us so we can
send you a copy.
Please tell us how we're doing.
We want to
hear from you about how well we are doing as your
health plan. You can call or write to us at any
time.
Molina Medicare is an organization with a
Medicare contract. This contract is renewed annually,
and coverage beyond the end of the contract year is not
guaranteed.
