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.
