Star Ratings are calculated each year and may change from one year to the next. Medicare beneficiaries may also enroll in MediGold through the CMS Medicare Online Enrollment Center located at Medicare evaluates plans based on a 5-star rating system. Other providers are available in our network. Enrollment in MediGold depends on contract renewal. MediGold (HMO/PPO) is a Medicare Advantage organization with a Medicare contract. Eligible members may receive four (4) tablets across all strengths per 30 days (except tadalafil 2.5mg: 30 tablets per 30 days) at retail pharmacy locations and mail order. Our mail-order pharmacy is to obtain consent prior to shipping or delivering any prescriptions that the beneficiary did not personally initiate unless the prescriber has initiated other mail-order prescriptions for the beneficiary in the last 12 months.ġ There is a $1,000 annual combined benefit maximum for preventive and comprehensive dental services.Ģ * On select plans, MediGold covers sildenafil citrate (generic Viagra) in 25mg, 50mg and 100mg tablets vardenafil (generic Levitra/Staxyn) in 2.5mg, 5mg, 10mg, and 20mg tablets/ODT and tadalafil (generic Cialis) in 2.5mg, 5mg, 10mg and 20mg tablets with a prescription for males only. For questions about mail-order medication, call 1-86 option 2 (TTY 711). You may receive prescription drugs at home using our network mail order program, generally within 10 calendar days of when your order is received. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Out-of-network/non-contracted providers are under no obligation to treat MediGold members except in emergency situations. For more detailed information about our plan options, view the Summary of Benefits. This chart is not a complete list of benefits. Plans and premiums may vary by county and state. MediGold is available in select counties.
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