This document is available in alternative formats. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You must have Medicare Parts A and B, and must reside in Alameda County, the service area of the plan. You must have Medi-Cal in addition to Medicare to enroll in the plan. You must receive all routine care from plan providers who have an arrangement with Alliance CompleteCare. Your primary care provider will provide or arrange for most of your covered services. Care or services you get from providers who are not part of Alliance CompleteCare will not be covered, with few exceptions such as emergencies.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call: 1-800-MEDICARE (1- 800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/seven days a week; the Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call-1-800-325-0778; or the Alameda County Medi-Cal Office at 1-800-698-1118.

Medicare beneficiaries may enroll in Alliance CompleteCare through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. Beneficiaries may enroll in a Medicare Advantage plan only during specified times of the year unless you have both Medicare and Medi-Cal. If you have Medicare and Medi-Cal, you can join Alliance CompleteCare at any time. For more information call your Care Advisor at 1-877-585-PLAN (7526) or TTY 1-888-747-1574, 7 days a week, 8 a.m. - 8 p.m. Alliance CompleteCare’s Prescription Drug Benefit is only available to enrollees of Alliance CompleteCare. If you are already enrolled in a Medicare Advantage Prescription Drug Plan you must receive your Medicare Prescription Drug benefit through that plan.

The pharmacy network includes retail, mail order, long term care, home infusion, and specialty pharmacy services. For information about mail order, names and addresses of network pharmacies or for more information about benefits call Alliance CompleteCare toll-free at 1-877-585-PLAN (7526); TTY users can call 1- 888-747-1574, seven days a week, from 8 a.m. to 8 p.m. You must use a network pharmacy to receive plan benefits. You may be able to have access to covered drugs dispensed at out-of-network pharmacies if you are unable to obtain a covered drug at a network pharmacy in a timely manner within our service area and you are not accessing out-of-network pharmacy services on a routine basis.

The plan’s contract with CMS is renewed annually. Availability of coverage beyond the end of the current contract year is not guaranteed. Alliance CompleteCare is offered by Alliance for Health, a health plan with a Medicare contract.