Eligibility

Beneficiaries who choose to enroll in a Medicare Advantage Plan:

• must be entitled to Part A and enrolled in Part B as of the effective date of coverage under the Medicare Advantage plan.
  
  
• are still in the Medicare program
  
  
• still have Medicare rights and protections
  
  
• still get all Medicare-covered services

Before you enroll, make sure you have determined what plan works best for you. The options below will assist you in making your decision:

1. Plan Overview
2. Compare Benefits
3. EOCs (Evidence of Coverage)
   

   AAA3 Premium Plan EOC

   AAA0 Zero Plan EOC

   AAA1 Value Plan EOC

   AAA4 Traditional Plus Plan EOC

   AAA5 SNP Plan EOC

   
   
4. SBs (Summary of Benefits)

   AAA3 Premium Plan SB

   AAA0 Zero Plan SB

   AAA1 Value SB

   AAA4 Traditional Plus Plan SB

   AAA5 SNP Plan SB

   
   

The annual enrollment period begins November 15, 2010 through December 31, 20101. The effective coverage date will begin January 1, 2011.

You can print an Enrollment Form from our website, or you can request a printed enrollment form to be mailed to you by calling Vantage locally at 318-361-0900, Toll Free at 1-888-823-1910 or TTY 1-866-524-5144 (for the hearing impaired).

HOURS OF OPERATION

November 15, 2010 through March 1, 2011:
Seven (7) Days a Week 8:00 a.m. - 8:00 p.m.

All other Dates:
Monday through Friday 8:00 a.m. - 8:00 p.m.

Simply print the form, fill it out, sign it and mail it to Vantage:

Vantage Health Plan, Inc.
130 DeSiard Street, Suite 300
Monroe, LA 71201

Call Vantage locally at 318-361-0900, Toll Free at 1-888-823-1910 or TTY 1-866-524-5144 (for the hearing impaired) to ask about our scheduled benefit meetings or to request a home visit from a Vantage Representative.

If you have limited income and resources, you may qualify for Extra Help with Medicare costs. To find out if you are eligible and how to apply, you can contact the Social Security Administration at 1-800-772-1213 (TTY 1-800-325-0778) or visit http://www.socialsecurity.gov/prescriptionhelp.

If you will be changing to Original Medicare, you might have a special temporary right to buy a Medigap policy, also known as Medicare Supplement Insurance, even if you have health problems.

Federal law requires the protections described above. The state may have laws that provide more Medigap protection. If you have questions about Medigap or any special temporary rights you may have, you should contact the Senior Health Insurance Information Program (SHIIP) at 1-800-259-5301 or visit www.ldi.state.la.us/Health/Shiip/ to get more information about Medigap policies in this state.

Vantage Health Plan, Inc. has a contract with the Centers for Medicare & Medicaid Services (CMS), the government agency that runs Medicare. This contract renews each year. At the end of each year, the contract is reviewed, and either Vantage Health Plan, Inc. or CMS can decide to end it. You will get 90 days advance notice in this situation. It is also possible for our contract to end at some other time during the year. In these situations, we will try to tell you 90 days in advance, but your advance notice may be as little as 30 or fewer days if CMS must end our contract in the middle of the year.