Other Important Information - 2010

We want you to be informed about your health care. Please click on the following links for more important information.

• The Official U.S. Government Site for People with Medicare
• Notice of Privacy Practices
• Your Rights & Responsibilities Upon Disenrollment
• Medicare Prescription Drug Determination Request Form
• Appointment of Representative Form 

Quality Improvement Program

Passport Advantage has developed a quality improvement program to make sure that you get the right medicines to safely treat your medical conditions. We also want to make sure that we have network pharmacies in enough locations so that you can easily fill your prescriptions.

Each year, we check on how well we and our network providers do these things. To decide if we are doing well, we:

• Look at information about the drugs our members take.
• Look at what the most recent medical research says about using prescription drugs.
• Ask network providers and plan members to help us decide how we may need to improve our services.
  

Then, we work with our network providers and pharmacies to make these changes.

Medication Therapy Management Program

Passport Advantage offers a special program for members who:

• Have chronic medical conditions
• Use many different drugs
• Use high cost drugs.

This program is called a Medication Therapy Management Program. If we think that we could help you improve your health through this program, one of our pharmacists will contact you. You do not have to take part in this program. If you want to opt out of this program, call Member Services.

Our Contract with Medicare

Passport Advantage contracts with Medicare to give our members health and prescription drug coverage. Passport Advantage or Medicare could end or change this contract. Also, the Plan could change its service area. If this happens, we will let you know. Then, you can get your Medicare benefits through Original Medicare and a Medicare Prescription Drug Plan, or through a different Medicare Advantage plan.

Please Report All Suspected Fraud and Abuse

Tell us if you suspect fraud or misuse of Passport Health Plan or Passport Advantage ID cards or benefits by a member or provider. To report fraud or misuse, please call Passport Health Plan’s Fraud and Abuse Hotline at 1-866-833-9718.

If you have identified billing practices that cause you to suspect potential fraud or abuse, you may call the OIG's National Hotline at 1-800-HHS-TIPS (1-800-447-8477) to report the activity. Suspicions of fraud or abuse may also be reported to Medicare's Customer Service Center at 1-800-MEDICARE (1-800-633-4227) or by TTY at 1-877-486-2048.