2013 Lovelace Medicare Plan

1. 2013 Lovelace Medicare Plan Plan and benefit changes for 2013 LMP_398

2. Lovelace Medicare PlanRetention Team • Over 67 Years of Experience! • Aaron Duran, Customer Advisor • LaNette Torrez, Customer Advisor • Sharon Lopez, Customer Advisor • Suzanne Janser, Customer Advisor • DeYonna Garcia, Supervisor • Maureen Manring, Manager

3. Goals and Objectives • Define Annual Election Period • Identify Plan Changes for 2013 • Identify Plan Options for 2013 • Review available Savings Programs • Review Value Added Benefits

4. Annual Election Period • Annual Election Period (AEP) • begins October 15, 2012 and • ends on December 7, 2012 • Effective date of coverage is • January 1, 2013

5. Annual Election Period (AEP) • If you are interested in changing plans for 2013: • You must complete a Short Enrollment Form. • The Short Enrollment Form must be received in our office no later than December 7, 2012. • The Short Enrollment Form will be included in your Annual Notice Of Change (ANOC) Packet. • If you want to remain on your current plan with 2013 benefits, there is NO NEED to do anything.

6. Short Enrollment Form

7. During this presentation • any benefit NOT mentioned for the • Standard and Enhanced Plans • will remain the same for 2013!

8. Additional Service Areas in New Mexico 10 NEW COUNTIES! • Chaves • Rio Arriba • San Miguel • Taos • Eddy • Lea • Lincoln • Cibola • Los Alamos • Otero

9. The Medical Only Plan is • NOLONGER • going to be offered as an option with the • Lovelace Medicare Plan in 2013.

10. Lovelace Medicare PlanStandard and Enhanced Plan Changes

11. Lovelace Medicare PlanStandard Plan • Changes

12. Lovelace Medicare PlanStandard Plan Changes

13. Lovelace Medicare PlanStandard Plan Changes

14. Lovelace Medicare PlanEnhanced Plan • Changes

15. Lovelace Medicare PlanEnhanced Plan Changes

16. Four NEW Plans at a Glance

17. Lovelace Medicare Plan AdditionsPlan Plus HMO/Plan Deluxe HMO with Part B “buy down”

18. Lovelace Medicare Plan AdditionsPlan Plus HMO/Plan Deluxe HMO with Part B “buy down”

19. Lovelace Medicare Plan AdditionsClassic PPO and Premier PPO Plans

20. Lovelace Medicare Plan AdditionsClassic PPO and Premier PPO Plans

21. Lovelace Medicare Plan AdditionsClassic PPO and Premier PPO Plans

22. Non-Emergency Transport Benefit For plans with the non-emergency transport benefit, Superior Medical Transport (SMT) will be the provider. • A member should call 48 hours in advance of scheduled appointment; will need member ID# and the address to which they are going. • In limited situations, same day appointments may be covered. • Summary of Benefits and Evidence of Coverage will provide details on how to contact them and guidelines on timing and distance.

23. Preventative Dental Services For plans with preventive dental services, Liberty Dental Plan will be the provider. The benefit offers: • $0 co-pay for two exams per year • One full mouth or panoramic X-ray every 24 months • Two cleanings per calendar year

24. Philips Lifeline ® Medical Alert Systems • In partnership with Lovelace Medicare Plan, Lifeline®will offer a monthly rate of $34 for its basic medical alert service to all Lovelace members. • You will also receive free activation.

25. All plans will continue to offer • Silver Sneakers • and • Assist America

26. Annual Notice of Change Packet • Summary of Benefits • Evidence of Coverage • Formulary • Post Card to Order Provider Directory • Short Enrollment Form

27. Savings Programs! • Get help with your Medicare out-of-pocket prescription expenses, Medicare premiums, and more. • Limited Income Subsidy (LIS) Part D Extra Help • Medicare provides “extra help” to pay prescription drug costs for people who meet specific income and resource limits. • Medicare Savings Programs • New Mexico offers programs that could pay your Medicare Part B • SOCIAL SERVICES COORDINATORS • now referred to as • ALTEGRA HEALTH • 1-866-706-6874 SSC is now Altegra Health

28. Be sure to visit our website. You can view all plan documents, the current formulary and search the most current provider plan finderwww.lovelacemedicareplan.com • Customer Care Center • 1-855-730-LOVE (5683) • TTY/TTD 711 • Hours of Operation are seven days a week from • 8:00 am to 8:00 pm

29. SUMMARY • Defined Annual Election Period • Explained how to make a plan switch within Lovelace Medicare Plan • Identified Plan Changes for 2013 • Identified Plan Options for 2013 • Reviewed available Savings Programs • Reviewed Value Added Benefits • Explained additional points of contact for future reference

30. Disclaimers:The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.As a member with the Lovelace Medicare Plan you will need to continue to have both Part A and Part B.You must also continue to pay your Part B premium each month to maintain membership.You may only enroll in the plan during specific times of the year. Contact Lovelace Medicare Plan for more information.People with limited incomes may qualify for Extra Help to pay for their prescription drug premiums, annual deductibles and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week, TTY users should call 1-877-486-2048.This information is available in a different format, including Spanish and large print. Please call Customer Care at the number listed above if you need plan information in another format or language.Esta información esta a su disposición en diferentes formatos, incluso en español y en letras mas grandes. Sírvase llamar al Centro de Atención a los Clientes al 505-727-5683 o al 1-855-730-5683 (LOVE); para la línea telefónica TTY/TDD llame al 711, si usted necesita recibir la información sobre el plan en algún otro formato.