Enrollment AgreementEnrollment Agreement • April 7th, 2017
Contract Type FiledApril 7th, 2017Table of Contents 2 Mission and Vision 3 1. Welcome to Eddy SeniorCare 4 2. Special Features of Eddy SeniorCare 5 3. Advantages of Enrolling in Eddy SeniorCare 7 4. Benefits and Coverage 7 5. Emergency and Urgently Needed Services 10 6. Services Received Outside the Eddy SeniorCare Service Area 12 7. Exclusions and Limitations 12 8. Eligibility 13 9. Enrollment and Effective Dates of Coverage 14 10. Termination of Benefits or Disenrollment 16 11. Monthly Costs 18 12. Member Grievance and Appeal Procedures 20 13. Your Rights as a Participant 24 14. Free Language Assistance Services 29 15. Your Responsibilities as a Participant 30 16. Money Follows the Person (MFP)/Open Doors 31 17. Definitions 31