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 2023
Eligibility Requirements/ Plan Highlights
- 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.
- $0 Monthly Premiums
- $0 Deductible
- $55 every three (3) months OTC Benefit Card (balance cannot be carried over)
- Preventative Care
- Vision and Hearing Services
For a complete description of our benefits, see the Evidence of Coverage on our materials page.
MAPD Materials 2023
Part D Prescription Drug Program
- Part D Overview
- Medication Therapy Management MTM 2023
- Benefit Highlights, Drug Pricing & Pharmacy Search
- 2023 MAPD Formulary Look Up
- Medicare Prescription Drug Coverage Determination Information
- Request for Redetermination of Medicare Prescription Drug Denial form
- Prescription Drug Transition Policy
- How to Submit a Prescription Drug Reimbursement Claim Form
MAPD Important Member Forms
Important Member Forms
Member Reimbursement Form (last updated 12/15/21)
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:
CMS Appointment of Representative Form – Last updated 09/01/2021
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:
- Kings (Brooklyn)
- New York (Manhattan)
- Richmond (Staten Island)
- Rockland Counties
Over-the-Counter (OTC) Information
2023 Beneficios OTC 2023 - Coming Soon
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).