Centers Plan for Medicare Advantage Care
Combine all your coverage into one convenient plan
Welcome to Centers Plan for Healthy Living. As a member, you can expect the quality service you deserve and a program that focuses on your personal healthcare needs, supported by a team of caring health care professionals. We know that for some members the process of enrolling and managing a healthcare plan can be intimidating. Having the right guidance and information can ease the burden and help you; your family and your healthcare provider make the right decisions. This member’s section is designed to provide you with easy to use, searchable information that other members have found helpful, as they plan for years of healthy living. As a member of the CPHL family, we want to make your healthcare experience as beneficial as possible. We are available to help, so if you should have any questions or feedback on ways to enhance your membership, please call or send us any comments you may have, so that we can continue to improve our plan and make CPHL the program of choice for you.
By enrolling in our Medicare Advantage Plan which includes prescription drug coverage, you can combine all your Medicare coverage into one convenient plan with no monthly premium, provided you are receiving both Part A and Part B coverage. As part of this plan, you must maintain your Part A and B coverage and continue to contribute to any cost shares associated with maintaining your current coverage.
Information is available for free in other languages. Please call Member Services at 1-877-940-9330; TTY users please call 711, from 8:00 AM to 8:00 PM seven days a week.
Esta información puede estar disponible en diferentes idiomas o formatos. Favor de llamar al 1-877-940-9330 (TTY 711) de 8:00 a.m. a 8:00 p.m., 7 días a la semana. Si necesita obtener información en otro formato o idioma, comuníquese con el Servicio de Atención al Cliente al número mencionado anteriormente.
This section will provide you with all the information you need to get the most out of your Centers Plan for Medicare Advantage Care (HMO) benefits.
MAPD Frequently Asked Questions
MAPD Eligibility Requirements / Plan Highlights 2025
Eligibility Requirements/ Plan Highlights 2025
Eligibility Requirements:
- You have both Medicare Part A and Medicare Part B
- You live in our geographic service area
- You are a United States citizen or are lawfully present in the United States.
Plan Highlights:
- $0 Monthly Premiums
- $0 Deductible
- $50 every month OTC Benefit Card. OTC cannot be carried over from month to month.
- Preventative Care
- Vision and Hearing Services
- Preventative and Comprehensive Dental Coverage
- Transportation
- Prescription Drug Coverage
For a complete description of our benefits, see the Evidence of Coverage on our materials page.
Click here for MAPD Materials 2025
Prescription Drugs Search Tools
For Prospective Members: Drug Pricing & Pharmacy Search Tool
Drug Pricing quotes do not take into account Low Income Subsidy level. If you qualify for Low Income Subsidy, your actual prescription drug copay may be less.
For Current Members: Prescription Drugs Member Portal – Real Time Benefits Tool
Register for the Member Portal to have access to personalized drug pricing, savings suggestions & calculator, pharmacy network search, drug side effects information, pill identifier, drug-drug interactions check, your prior authorizations and drug claims history, Medicare prescription payment plan portal, tax reports and more
For any pharmacy-related and medication-related benefit questions or to request a prior authorization or a coverage determination, call toll-free 1-888-807-5717 (TTY users call 711) 24 hours a day, 7 days a week or email: customerservice@medimpact.com
Medication Therapy Management (MTM)
If you have complex health needs, you may be able to participate in a Medication Therapy Management (MTM) program. MTM is a service offered by Centers Plan for Healthy Living at no additional cost to you! This program helps you and your doctor make sure that your medications are working well. It also helps us identify and reduce possible medication problems. To find out more please click here.
Personalized Medication List - English
Personalized Medication List – Spanish
For any pharmacy-related and medication-related benefit questions or to request a prior authorization or a coverage determination, call toll-free 1-888-807-5717 (TTY users call 711) 24 hours a day, 7 days a week or email: customerservice@medimpact.com
Prescription Drugs Benefits Overview
Prescription Drugs Benefits Overview
Prescription Drugs Member Portal – Real Time Benefits Tool
Part D Coverage Determination Form
Request for Redetermination of Medicare Prescription Drug Denial form
Prescription Drug Transition Policy
Prescription Drug Reimbursement Claim Form
For any pharmacy-related and medication-related benefit questions or to request a prior authorization or a coverage determination, call toll-free 1-888-807-5717 (TTY users call 711) 24 hours a day, 7 days a week or email: customerservice@medimpact.com
Medicare Prescription Payment Plan
Medicare Prescription Payment Plan (MPPP)
The Medicare Prescription Payment Plan is a voluntary payment option that works with your current drug coverage to help you manage your out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January-December). This payment option might help you manage your expenses, but it doesn’t save you money or lower your drug costs.
This payment option might not be the best choice for you if you get help paying for your prescription drug costs through programs like Extra Help from Medicare or EPIC (New York’s State Pharmaceutical Assistance Program/SPAP for short). Call us at 1-888-807-5717 (TTY 711), 24 hours a day, 7 days a week for more information.
For more information see the Medicare Prescription Payment Plan Fact Sheet
Think this program might be a good fit for you?
There are three ways to enroll:
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Enroll by Phone: |
Call us at 1-888-807-5717 (TTY 711), 24 hours a day, 7 days a week
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Enroll Online:
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Visit mp.medimpact.com (our prescription drug member portal) Instructions for Filling Out Online Medicare Prescription Payment Plan Request to Opt-in |
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Enroll by Mail:
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Medicare Prescription Payment Plan Participation Request Form |
Rights and Responsibilities Upon Disenrollment
For information on your and Centers Plans’ rights and responsibilities upon your disenrollment from our plan, please see Chapter 10 of the Evidence of Coverage (EOC).
MAPD Important Member Forms
Important Member Forms
Member Reimbursement Form (last updated 10/2023)
How to Appoint a Representative - Last updated 03/07/19
In the event that you need to appoint a representative regarding a grievance, request a coverage determination or an appeal, or to make complaints, the following form is also available on the Medicare and Medicaid Services (CMS) website below:
CMS1696: Appointment of Representative | CMS
CMS Appointment of Representative Form – Last updated 11/2024
CMS Appointment of Representative Form_Spanish - Last updated 11/2024
CMS Appointment of Representative Form_Large Print - Last updated 11/2024
CMS Appointment of Representative Form Large Print Spanish - Last updated 11/2024
CMS Electronic Complaint Form – Last updated 11/19/2014
Best Available Evidence (BAE) – Last updated 11/19/2014
MAPD Find Provider
MAPD Service Areas
- Centers Plan for Medicare Advantage Care serves the following 9 counties in New York State:
- Bronx
- Erie
- Kings (Brooklyn)
- Nassau
- New York (Manhattan)
- Niagara
- Queens
- Richmond (Staten Island)
- Rockland Counties
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