Medical Member Service
503-265-4762 or
877-299-9062
800-433-6313 TTY
503-948-5577 Fax
7AM-8PM, seven days a week
Pacific Time
Pharmacy Customer Service
503-265-4709 or
888-786-7509
800-433-6313 TTY
800-207-8235 Fax
7AM-8PM, seven days a week
Pacific Time
ODS Advantage PPORX (2010) - A PPO and Prescription drug plan with a Medicare contract
The ODS Advantage PPORX is a Medicare Advantage local PPO plan that includes Prescription Drug benefits serving the state of Oregon.
- Eligibility Requirements
- Enrollment
- Benefits
- Premium
- Medical Provider Network
- Pharmacy Information
- Disenrollment
- Administrative Information
- ODS Advantage Plan Member Guide (PDF)
- Get Your Flu and Pneumonia Vaccines (PDF)
- Flu Clinic Locator (You will be leaving the ODS site)
Eligibility Requirements
The ODS Advantage PPORX plan is designed for those Medicare eligible people who wish to have one plan that includes both their medical coverage and their Part D prescription drug coverage.
- You must have both Medicare Part A and Part B to apply.
- You must reside in Oregon to apply for the ODS Advantage PPORX plan.
- You must continue to pay your Part B premium. (if not paid under Medicaid or third party)
- You cannot enroll if you have End Stage Renal Disease (ESRD). If you are currently enrolled in an ODS medical plan, you may be able to enroll even if you are having renal dialysis or have had a recent kidney transplant. Contact member services for more information.
- Prescription drug benefits are only available to members of this plan
Note: If you are already enrolled in another Medicare Advantage Prescription Drug plan, you must receive your Medicare prescription drug benefit through that plan.
Enrollment
Enrollment into a prescription drug plan is voluntary.
You can enroll in ODS Advantage PPORX beginning November 15, 2009 through December 31, 2009, when you are first eligible for Medicare, when you have a Special Election Period and each Annual Election Period. If you are in a Medicare Advantage plan or have Original Medicare and a Prescription drug plan after January 1, 2010 you may make one Medicare Advantage Open Enrollment Period (OEP) enrollment request from January 1st through March 31st of each year. For more information about when you can enroll or if you have questions about enrolling, please call member services.
If you do not join a prescription drug plan, you may have to pay more for your prescription drug coverage. There is a 1% per month penalty for each month during which you could have enrolled but did not. The 1% penalty is based on the Medicare Base premium for Part D and can change each year.
For Example: If a Medicare eligible person who could have enrolled January 1, 2007 delayed enrollment in a Medicare Prescription Drug Plan until January 1, 2008 that member would have a penalty of 12%. This 12% is based on the twelve months from January 2007 through December 2007.
The penalty applies for as long as the member is enrolled in a prescription drug plan.
Your coverage will generally be effective the first of the month following our receipt of a "Complete" enrollment form. If you have not completed the enrollment form we will contact you for more information. This can delay your effective date.
Warning: If you are enrolled in a Medicare Advantage plan (like the ODS Advantage PPO) and you apply for the ODS Advantage PPORX you will be disenrolled from your Medicare Advantage plan and may not be able to reapply until the next Medicare Annual Election Period, which is Nov. 15th through Dec 31st of each year.
Ways to Enroll
- Print the ODS Advantage PPORX Enrollment Form and Instructions and send it to us at the address on the form.
- Call member services to request an enrollment packet
- Medicare beneficiaries may enroll in ODS Advantage PPORX through the CMS Medicare Online Enrollment Center.
For more information about when you can enroll in ODS Advantage PPORX , call member services.
If you need help completing the ODS Advantage PPORX Enrollment Form, please call ODS Advantage member services.
ODS Advantage PPORX Benefits
Medical Benefits
ODS Advantage PPORX plan features a number of valuable medical and prescription drug benefits including:
- Annual out-of-pocket maximum of $2,500
- No medical deductible
- Copayments and coinsurance amounts are the same for both in and out of network services. ODS Advantage pays up to the limiting charge for Medicare covered services
- $0 copayment for your annual physical
- Routine vision exam benefit
- See any Medicare provider in or out-of-network
- Travel and visitor coverage for up to 12 months
- Worldwide coverage for emergency medical services
Prescription Drug Benefits
- Open formulary covering almost all eligible Part D drugs
- $310 Yearly deductible then you pay
- 25% Coinsurance to $2830 then
- You pay 100% of costs from $2830 to $4550 True Out of Pocket (TrOOP)
- Catastrophic coverage limit (TrOOP maximum) $4550
- After your yearly out-of-pocket drug costs reach $4550. You pay the
greater of:
- $2.50 for generic (including brand drugs treated as generic) and $6.30 for all other drugs
OR - 5% coinsurance
- $2.50 for generic (including brand drugs treated as generic) and $6.30 for all other drugs
Highlights
- Access to in-network pharmacies in Oregon, Washington and across the USA
- Access to Mail Order Pharmacy
- 90-day supply through Retail or Mail Order
- ODS Advantage Formulary includes almost all eligible Part D drugs
- Generic : A Generic drug has the same active-ingredient formula as the brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.
- Brand: A prescription drug that is manufactured and sold by the pharmaceutical company that originally researched and developed the drug.
- You generally pay less for a generic drug than for a Brand drug.
The ODS Advantage PPORX Summary of Benefits is a comparison of ODS Advantage PPORX, ODS Advantage PPORX Select and the Original Medicare Plan. The charts in this booklet list some important health benefits. For each benefit, you can see what our plans cover and what the Original Medicare Plan covers.
Our members receive all of the benefits that the Original Medicare Plan offers. We also offer more benefits, which may change from year to year.
The ODS Advantage PPORX Combined Annual Notice of Changes - Evidence of Coverage includes the benefits, the limitations, restrictions, appeal and grievance process, and other important information about the ODS Advantage PPORX plan.
For more information about ODS Advantage PPORX benefits, call member services.
Premium
The monthly premium for 2010 is $231.90. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. You can pay your Medicare plan directly for your monthly premium, or have the monthly premium automatically deducted from your Social Security check. If you choose to pay directly, you can pay by mail or by electronic funds transfer (EFT). Generally you must stay with the option you choose for the rest of the year.
Payment may be made:
- Directly to ODS Health Plan, Inc.
- Through Electronic Fund Transfer from your bank
- Deducted from your monthly Social Security check (Contact member services for more information on how to pay your premium this way)
If you have questions about any of these options, call member services.
Low Income Subsidy
What do I need to know if I'm receiving extra help from Medicare to pay for my prescription drugs?
If you continue to qualify for the same amount of help next year, the table below tells you how your prescription costs will change.
| If you pay this much this year 2009 | You will pay this much next year 2010 |
|---|---|
| $0 deductible | $0 deductible |
| $60 deductible | $63 deductible |
$1.10 for generics and brands that are treated as generics |
$1.10 for generics and brands that are treated as generics |
| $3.20 for brand name drugs | $3.30 for brand name drugs |
| $2.40 for generics and brands that are treated as generics |
$2.50 for generics and brands that are treated as generics |
| $6.00 for brand name drugs | $6.30 for brand name drugs |
| 15% co-insurance for all drugs | 15% co-insurance for all drugs |
ODS Advantage PPORX Monthly Plan Premium for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan.
This table shows you what your monthly plan premium will be if you get extra help.
| Your level of extra help | Monthly Premium for ODS Advantage PPORX* |
|---|---|
| 100% | $196.30 |
| 75% | $205.20 |
| 50% | $214.10 |
| 25% | $223.00 |
*This does not include any Medicare Part B premium you may have to pay.
ODS Advantage PPORX premium includes coverage for both medical services and prescription drug coverage.
You may receive (or may have received) a letter from Medicare or the Social Security Administration (SSA) about your eligibility for extra help in 2010. Read this important information carefully. If you don't know what level of extra help you qualify for, you can call 1-800-MEDICARE (1-800-633-4227) for this information. TTY/TDD users should call 1-877-486-2048. They are available 24 hours a day, 7 days a week.
If you aren’t getting extra help, you can see if you qualify by calling:
- The Social Security Administration at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
- Your State Medicaid Office or
- 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048 (24 hours a day/7 days a week)
If you have any questions, please call member services.
If you qualify for the Medicare Part D premium subsidy and you choose an ODS Advantage plan, you will have to pay the balance of the plan's Part D premium.
Best Available Evidence (BAE)
Beneficiaries are “deemed” low income subsidy eligible if they are full benefit Medicare/Medicaid eligible, partial dual eligible, are receiving SSI or have applied and been awarded LIS by the Social Security Administration (SSA). There is a new process for assisting individuals who do not have the required pieces of evidence but who claim to be eligible for the low income subsidy (LIS). If you do not have the required evidence called “Best Available Evidence” (BAE) and believe you are LIS eligible please call member services.
The following link is to the section of Centers for Medicare and Medicaid Services (CMS) web site regarding BAE policy. You will be leaving the ODS site.
http://www.cms.hhs.gov/PrescriptionDrugCovContra/17_Best_Available_Evidence_Policy.asp
Medical Provider Network
The ODS Advantage Provider Network is a network of doctors, specialists and hospitals. You can use any provider who is part of our network. You may also go to Medicare providers outside of our network. The providers in our network can change at any time. You can ask for a current Provider Directory for an up-to-date list or visit the link below. You may also call our member services at 1-877-299-9062 (TTY/TDD users should call 1-800-433-6313) Monday through Friday from 7 a.m. to 8 p.m. Pacific time.
The ODS Advantage Network Provider Directory (Acrobat PDF) is a printable version of the ODS Advantage Network Provider Directory for the entire state of Oregon.
You must use Medicare providers except in emergency situations. ODS Advantage does not require referrals.
If you need help finding an ODS Advantage Network provider please call member services.
What services will your provider need to get prior authorization from the plan?
Prior authorization is approval in advance to get services. Some in-network medical services are covered only if your provider gets prior authorization from our plan. You do not need prior authorization to obtain out of network services or emergency services. Covered services that need prior authorization are listed in the Benefits Chart in Chapter 4 of your Evidence of Coverage.
Your provider can call ODS Advantage Healthcare Services at 1-800-592-8283 or fax a prior authorization request form to 503-243-5105. ODS Advantage Healthcare Services hours of operation are from 7:30 am to 6 pm Pacific time, Monday through Friday. (TTY users call 1-800-433-6313). List of services that need prior authorization.
Medical Appeal and Grievance Procedure
As an ODS Advantage PPORX member, you have the right to file a complaint if you have concerns or problems with any part of your benefits, care and service.
There are two types of complaints:- Appeal
- An appeal is something you do if you disagree with at decision to deny a request for health care services or payment for services you already received. You may also make an appeal if you disagree with a decision to stop services that you are receiving. For example, you may ask for an appeal if our Plan doesn’t pay for an item or service you think you should be able to receive. See Chapter 9 below which explains appeals, including the process involved in making an appeal.
- Grievance
- A grievance is a type of complaint you make about us or one of our plan providers, including a complaint concerning the quality of your care. This type of complaint does not involve coverage or payment disputes. See Chapter 9 Section 10 below for more information about a complaint and what to do if you would like to make one.
Chapter 9 – What to do if you have a problem or concern - This section is from your Combined Annual Notice of Changes - Evidence of Coverage for the ODS Advantage PPORX plan.
Chapter 9 Section 10 – How to make a complaint about quality of care, waiting times, customer service, or other concerns - This section is from your Combined Annual Notice of Changes - Evidence of Coverage for the ODS Advantage PPORX plan.
If you have questions or need help with your appeal or grievance, please call member services. You can mail your appeal or grievance to ODS Health Plan, Inc. Attn: ODS Advantage Appeals P.O. Box 40384 Portland OR 97240-0384 or fax: 503-243-5105
Pharmacy Information
Formulary
The ODS Advantage Comprehensive Formulary includes generic and BRAND drugs. Generic drugs are listed in lower-case italics (e.g. furosemide) and BRAND drugs are in upper case capital letters (e.g. CELEBREX) by therapeutic category followed by an alphabetic list by drug name. We have not listed all strengths for all drugs.
If you do not find your drug in the formulary it may still be a covered drug. Please call ODS Advantage Pharmacy customer service.
You may request a hard copy Formulary in the Comprehensive formulary version (drugs by classification and an alphabetic list but may not include all of the changes that have been made this past year or be as up to date as the version on this web site) by calling ODS Advantage Pharmacy customer service.
The ODS Advantage Formulary Updates will be made monthly. Changes are made based on new Part D eligible drugs entering the market, drugs that were BRAND drugs being offered as generic drugs, FDA rulings that take a drug off of the market, FDA rulings that change the approved usages for drugs, Medicare rule changes, and ODS Advantage Pharmacy and Therapeutics Committee recommendations.
These updates can result in a change in the cost share you pay for specific drugs. These updates can result in drugs that were covered being excluded or excluded drugs may now be covered. If you have any questions about the status of the drugs that you use, please call ODS Advantage Pharmacy customer service.
Transition Policy
New members in our plan may be taking drugs that aren’t on our formulary or that are subject to certain restrictions, such as prior authorizations or quantity limits. Current members may also be affected by changes in our formulary from one year to the next.
For each of the drugs that aren’t on our formulary or that have coverage restrictions or limits, we will cover a temporary 30-day supply (unless the prescription is written for fewer days) when a new or current member goes to a network pharmacy (and the drug is a Part D eligible drug). After we cover the temporary 30-day supply, we generally will not pay for these drugs as part of our transition policy again. We will provide you with a written notice after we cover your temporary supply which explains the steps you can take to satisfy the coverage restrictions or limits on the drugs that you take.
If you are a resident or become a resident of a long-term-care-facility (like a nursing home) or have a level of care change, we will cover a temporary 31-day transition supply (unless you have a prescription written for fewer days). If necessary, we will cover more than one refill of these drugs during the first 90-days after you enroll into our plan.
Generally, if you are taking a drug on our 2010 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2010 coverage year except when a drug becomes an over-the-counter (OTC) drug, when the drug is no longer eligible to be a Part D drug, or when new adverse information about the safety or effectiveness of a drug is released.
Pharmacy Forms
- Appointment of Representative
This form is used to name a relative, friend, advocate, or anyone else to be your appointed representative. This appointed representative may request a coverage determination or file a grievance or appeal on your behalf. If you want someone to act for you, then you and that person must sign the Appointment of Representative form which will give the person legal permission to act as your appointed representative. - Coverage determination and Exception Request
This form is used to request a coverage determination and a formulary exception request. Note: This form cannot be used to request barbiturates, benzodiazepines, fertility drugs, drugs for weight loss or weight gain, drugs for hair growth, over-the-counter drugs, or prescription vitamins (except prenatal vitamins and fluoride preparations). If you are submitting a paper claim, please see the section below called "How do I submit a paper claim". You may print off the Pharmacy paper claim form to complete, attach your receipt and mail in to ODS. - Coverage Determination Form (Physicians)
This form is used by the prescribing physician to request a coverage determination. A coverage determination includes a prior authorization, an exception request, and an expedited review. This form cannot be used to request Medicare non-covered drugs including barbiturates, benzodiazepines, fertility drugs, drugs prescribed for weight loss, weight gain or hair growth, over-the-counter drugs or prescription vitamins (except prenatal vitamins and fluoride preparations). - Prescription Drug Redetermination Request
This form is used to request an appeal or redetermination of a denied service or coverage determination. Note: You must receive a denied coverage determination before requesting a redetermination. - Prior Authorization Guidelines
This document lists the prior authorization (PA) guidelines used to make a coverage determination for a drug noted in the Comprehensive Formulary with a PA.
Prescription Drug Appeal and Grievance Procedure
Chapter 9 – What to do if you have a problem or concern - This section is from your Combined Annual Notice of Change - Evidence of Coverage for the ODS Advantage PPORX Plan. See Chapter 9 Section 6: How to ask for a coverage decision, ask us to cover a Part D drug that is not on our formulary or make an appeal.
Chapter 9 Section 10 – How to make a complaint about quality of care, waiting times, customer service, or other concerns – This section is from your Combined Annual Notice of Changes - Evidence of Coverage for the ODS Advantage PPORX plan.
If you have questions or need help with your appeal, coverage determination, exception request, redetermination or grievance, please call member services. You can mail coverage determinations and exception requests to ODS Health Plan, Inc. Attn: ODS Advantage Pharmacy Customer Service, P.O. Box 40327, Portland OR 97240-0327 or fax 1-800-207-8235. You can mail appeals, complaints and redeterminations to ODS Health Plan, Inc. Attn: ODS Advantage Appeals. P.O. Box 40384, Portland OR 97240-0384 or fax: 503-243-5105
If you would like a report on the number of ODS Advantage PPORX grievances, appeals and exceptions, call member services.
- Coverage Determination
- A decision from your Medicare drug plan about whether a drug prescribed for you is covered by the Plan and the amount, if any; you are required to pay for the prescription. In general, if you bring your prescription to a pharmacy and the pharmacy tells you the prescription isn’t covered under your plan, that isn’t a coverage determination. You need to call or write to your plan to ask for a formal decision about the coverage if you disagree.
- Exception
- A type of coverage determination that, if approved, allows you to obtain a Part D eligible drug that is not on your plan sponsor’s formulary (a formulary exception). You may also request an exception if your plan sponsor requires you to try another drug before receiving the drug you are requesting, or the Plan limits the quantity or dosage of the drug you are requesting (a formulary exception).
Pharmacy Network
The ODS Advantage pharmacy network contracts with over 600 pharmacies in the state of Oregon. ODS Advantage PPORX has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area.
ODS Advantage offers a wide range of choices when it comes to where and how you can order prescription drugs. The ODS Advantage Pharmacy Network includes Retail, Home Infusion, Long-Term Care and Indian Health Service pharmacies, and for your convenience a majority of national mail-order pharmacies. You can also fill up to a 90-day supply of maintenance medications at your local retail pharmacy.
The ODS Advantage Network Pharmacy Directory (Acrobat PDF) is a printable version for Oregon and Washington.
You must use network pharmacies to access your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use network pharmacies. If you use an out of network pharmacy, you may need to pay for your prescriptions and mail your receipt to ODS Advantage within 60 days of the fill date for processing. You will have to pay any difference between the out of network pharmacy's charge and the plan's allowable charge.
If you have any questions about access, mail order services, or need help finding a pharmacy, please call ODS Advantage Pharmacy customer service.
Out of Network Pharmacy Access
Generally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when a network pharmacy is not available. Before you fill your prescription in these situations, call customer service to see if there is a network pharmacy in your area where you can fill your prescription. If you do go to an out-of-network pharmacy for the reasons listed below, you may have to pay the full cost (rather than paying just your co-payment) when you fill your prescription. You can ask us to reimburse you for our share of the cost by submitting your receipt. However, even after we reimburse you for our share of the cost, you may pay more for a drug purchased at an out-of-network pharmacy because the out-of-network pharmacy's price is higher than what a network pharmacy would have charged. You should submit a claim to us if you fill a prescription at an out-of-network pharmacy, any amount you pay, consistent with the circumstances listed above, will help you qualify for catastrophic coverage. To learn how to submit a paper claim, please refer to the paper claims process described next.
We will cover your prescription at an out-of-network pharmacy if at least one of the following applies:
- If you are unable to obtain a covered drug in a timely manner within our service area because there is no network pharmacy within a reasonable driving distance that provides 24-hour service.
- If you are trying to fill a prescription drug that is not regularly stocked at an accessible network retail or mail order pharmacy (including high cost and unique drugs).
- If you are getting a vaccine that is medically necessary but not covered by Medicare Part B and some covered drugs that are administered in your doctor's office.
How do I submit a paper claim?
When you go to a network pharmacy, your claim is automatically submitted to us by the pharmacy. However, if you go to an out-of-network pharmacy for one of the reasons listed above, the pharmacy may not be able to submit the claim directly to us. When that happens, you will have to pay the full cost of your prescription. Within 60 days of the fill date or when you return home (whichever is sooner), submit the receipt from the pharmacy with your name on it that lists the Pharmacy, the phone number of the pharmacy, your member ID number, the prescription filled and the prescriber to the following address:
ODS Health Plan, Inc.
Attn: Pharmacy Claims
P.O. Box 40327
Portland, OR 97240-0327
You may print out the Pharmacy paper claim form, complete the form, attach your receipt and mail to the above address.
If you have any questions about submitting your receipt, please call ODS Pharmacy Customer Service at 1-888-786-7509 or TTY 1-800-433-6313 Monday-Friday from 7 a.m. to 8 p.m., Pacific time.
Upon receipt, we will make an initial coverage determination on the claim. Please refer to your Annual Notice of Change - Evidence of Coverage or call customer service for more information on initial coverage determinations.
ODS Advantage Pharmacy Quality Assurance
ODS Advantage has a number of quality assurance programs to assure that you are receiving the highest quality care and service at network pharmacies and by ODS.
We conduct drug utilization reviews for all of our members to make sure that they are receiving safe and appropriate care. These reviews are especially important for members who have more than one doctor who prescribes their medications. We conduct drug utilization reviews each time you fill a prescription and on a regular basis by reviewing our records. During these reviews, we look for medication problems such as:
- Possible medication errors
- Duplicate drugs that are unnecessary because you are taking another drug to treat the same medical condition
- Drugs that are inappropriate because of your age or gender
- Possible harmful interactions between drugs you are taking
- Drug allergies
- Drug dosage errors
If we identify a medication problem during our drug utilization review, we will work with your doctor to correct the problem.
The ODS Advantage Medication Therapy Management Program (MTMP)
We offer free medication therapy management programs for members who have multiple medical conditions, who are taking many prescription drugs, and have high drug costs. These programs were developed for us by a team of pharmacists and doctors. We use these medication therapy management programs to help us provide better coverage for our members. For example, these programs help us make sure that our members are using appropriate drugs to treat their medical conditions and help us identify possible medication errors.
We offer a medication therapy management program for members that meet specific criteria. We may contact members who qualify for these programs. If you are selected to join a medication therapy management program we will send you information about the specific program, including information about how to access the program. Remember, you do not need to pay anything extra to participate.
Disenrollment
As a member of ODS Advantage PPORX, you may want to leave our plan or there are a few situations where you would be required to leave our plan. "Disenrollment" from ODS Advantage PPORX means ending your membership in ODS Advantage PPORX. Disenrollment can be voluntary (your own choice) or involuntary (not your own choice):
- You might leave ODS Advantage PPORX because you have decided that you want to leave.
- There are also limited situations where we are required to end your membership. For example, if you permanently move out of our geographic service area.
Until your membership officially ends, you should keep getting your Medicare services through ODS Advantage PPORX or you will have to pay more for your services.
Whether leaving the plan is your choice or not, Chapter 10: Ending your membership in the plan, from your Combined Annual Notice of Changes - Evidence of Coverage explains your Medicare coverage choices after you leave and the rules that apply. A disenrollment form is located at the end of Chapter 10.
Administrative Information
Plan Ratings
The Medicare program rates how well plans perform in different categories (for example, detecting and preventing illness, ratings from patients and customer service). If you have access to the web, you may use the web tools on www.medicare.gov and select “Compare Medicare Prescription Drug Plans” or “Compare Health Plans and Medigap Policies in Your Area” to compare the plan ratings for Medicare plans in your area. You can also call us directly at 1-877-299-9062 to obtain a copy of the plan ratings for this plan. TTY users call 1-800-433-6313.
- ODS Advantage PPO Plan Part C (Medical) Ratings
- ODS Advantage PPO Plan Part D (Prescription Drug) Ratings
Potential for Contract Termination
ODS Health Plan, Inc.'s contract with the Centers for Medicare and Medicaid Services (CMS) may not be renewed each calendar year by CMS or by the plan. The services under the plan may change from year to year and the plan's service areas may also change. You will be notified in advance of any changes that may occur. Coverage beyond the end of the current contract year is not guaranteed.
ODS Advantage Privacy Notice
At ODS Advantage we understand that it is our responsibility to protect your private information. We will not share your private information except as allowed by law to conduct the business of providing you with your pharmacy benefits, collect premiums and reporting to Medicare, state and federal agencies as required by law.
Your Medicare Rights and Protections
ODS Health Plan, Inc. contracts with the Federal government.
ODS Advantage PPORX is a PPO and a Prescription drug plan with a Medicare contract.
updated 10/2009
H3813-002
H3813_4006PPORX10B (12/2009)