Annual Notice of Changes for 2021. It gives you a summary of changes to your benefits, prescription drug formulary, and premium costs for next year.
Please call us at 1-800-731-0459 (TTY: 711). Hours are 8 a.m. to 8 p.m., Monday through Friday ( April 1—Sept. 30) and Saturdays and Sundays (Oct. 1 through March 31). Calls to this number are free.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on Jan. 1 of each year. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premium.
Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.