Medicare Assured^® HMO SNP Summary of Benefits

2012

• Summary of Benefits - 2012 - English
• Summary of Benefits - 2012 - Spanish

This Summary of Benefits tells you some of the features of our plan. It doesn't list every service we cover or list every limitation or exclusion. To get a complete list of our benefits, please see the "Evidence of Coverage".

Forms require the Adobe Acrobat Reader installed on your system. Most computers have this program installed. If it is not installed on your computer, you can download it for free from Adobe.

Please call Gateway Health Plan Medicare Assured^® HMO SNP for help or information.


Current Members Should Call: 1-800-685-5209
8:00 am - 8:00 pm; 7 days a week.


Prospective Members Should Call: 1-877-GATEWAY
TTY: 711

Calls to these numbers are free.


H5932_604 CMS Approved 10202011