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PARAMOUNT ELITE ENROLLMENT INSTRUCTIONS

HOW DO I ENROLL?

There are several ways you can enroll in any of the Paramount Elite HMO Plans. No matter what enrollment option you choose, a Paramount Elite Medicare Sales Representative will contact you to confirm your eligibility for enrollment as well as your enrollment effective date with our plan.

ENROLL NOW BY CLICKING HERE (Link to Paramount On-Line Enrollment)

ENROLL NOW OVER THE PHONE

Call 1-888-891-0707; a licensed and trained enrollment representative located in Maumee, Ohio will be happy to personally assist you with this option. We can complete your application over the phone.

MAIL OR FAX YOUR ENROLLMENT FORM

Simply print an enrollment request form. Complete all required information on the enrollment form and mail it to Paramount Elite at:

Paramount Elite
P.O. Box 928
Toledo, Ohio 43697-0928
Attention: Elite Department Elite Enrollment Form

You may also fax your completed enrollment request form to 419-887-2039.

ENROLL NOW THROUGH THE MEDICARE ON-LINE ENROLLMENT CENTER

Medicare beneficiaries may enroll in Paramount Elite through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. or by clicking on the link below. Your completed enrollment request will be sent to us by Medicare.

Medicare On-Line Enrollment Center

PARAMOUNT ELITE ENROLLMENT LIMITATIONS

Please remember that that the federal government has established certain times when you can leave a plan and/or join a new plan. Members may enroll in a Medicare Advantage (MA) plan only during certain times of the year. You may enroll in a Medicare Advantage (MA) plan during the annual enrollment period between October 15 and December 7.

There are exceptions that may allow you to enroll in a Medicare Advantage plan outside of these periods. Please contact Member Services if you have any questions or need help to see if you are eligible to enroll.

You may also call 1-800-MEDICARE (1-800-633-4227) for more information. TTY users should call 1-877-486-2048. You can call this number 24 hours a day, 7 days a week. Or visit www.medicare.gov on the web.

CAN I CHOOSE MY DOCTORS?

Paramount Elite has formed a network of doctors, specialists and hospitals. With Paramount Elite there are no referrals required for network doctors, specialists, and hospitals. You must use plan providers except in emergent or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out of network providers neither Medicare nor Paramount Elite will be responsible for the costs.

The health providers in our network can change at any time. You can ask for a current Provider Directory or for an up-to-date list, or click on the link below.

Elite Provider Directory

What happens if i go to a doctor who's not in your network?

If you obtain routine care from out-of-network providers neither Medicare nor Paramount Elite will be responsible for the costs. You must pay for these services yourself.

WHAT ARE MY PROTECTIONS IN THIS PLAN?

All Medicare Advantage Plans agree to stay in the program for a full calendar year at a time. Plan benefits and cost sharing may change from calendar year to calendar year. Each year, plans can decide whether to continue to participate with Medicare Advantage. A plan may continue in its entire service area (geographic area where the plan accepts members) or choose to continue only in certain areas. Also, Medicare may decide to end a contract with a plan. Even if your Medicare Advantage Plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue for an additional calendar year, it must send you a letter at least 90 days before your coverage will end. The letter will explain your options for Medicare coverage in your area.

CMS Approved 01182012
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Last update: 10/1/11