Banner Medicare Advantage Prime HMO | Materiales del plan 2022

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Año de cobertura : 1 de enero de 2022 al 31 de diciembre de 2022

Los materiales y enlaces a continuación le brindan información relacionado con los beneficios y la cobertura de su plan. Comuníquese con nuestro Centro de Atención al Cliente si necesita más ayuda.

Materiales del plan | 2022

The 2022 Annual Notice of Changes (ANOC) booklet tells about the changes between plan benefit years 2021 and 2022. Please find your county below to review some changes to the plan's costs and benefits.

Applicable Counties: Maricopa, Pinal

Applicable County: Pima

This is a summary of drug and health services covered by Banner Medicare Advantage Prime HMO (January 1, 2022 - December 31, 2022).

The 2022 Evidence of Coverage booklet gives you the details about your Medicare health care and prescription drug coverage from January 1, 2022 – December 31, 2022. It explains how to get coverage for the health care services and prescription drugs you need. This is an important legal document.

You can see what pharmacies are in-network, check medication prices, and find out what medications are covered by using our online search tools or by viewing our PDF directories at the links below. Our most current version of pharmacies and medications will always be updated online.

Please Note: For 2022 plan benefits and coverage, Banner Medicare Advantage will partner with Express Scripts, Inc. (ESI) as our pharmacy benefit manager (PBM). 

Our network of more than 5,000 providers is committed to understanding your medical history and partnering with you to develop a health care roadmap to support your health and lifestyle objectives.

You can find a network provider and/or pharmacy by using our online search tools at the links below. Our most current version of providers and pharmacies will always be updated online.   

You can also view our PDF directories below.   

August 2022

September 2022

If you need assistance identifying a provider that’s right for you, please call (833) 516-1007, TTY 711, 8 a.m. to 8 p.m., Monday - Friday to speak with a licensed sales agent.

Medicare and Star Ratings

The Medicare Program rates all health and prescription drug plans each year, based on a plan’s quality and performance. Medicare Star Ratings* help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan’s performance to other plans.

The two main types of Star Ratings are:

  1. An Overall Star Rating that combines all of our plan’s scores.
  2. Summary Star Rating that focuses on our medical or our prescription drug services.

Some of the areas Medicare reviews for these ratings include:

  • Feedback from members about the plan’s service and care
  • The number of members who left or stayed with the plan
  • The number of complaints Medicare got about the plan
  • Data from doctors and hospitals that work with the plan

2022 Star Ratings

*Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan 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.

If you aren’t getting extra help, you can see if you qualify by calling:

  • 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/seven days a week),
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.

If you have any questions, please call our Customer Care Center at (877) 874-3930, (TTY users should call 711), from 8 a.m. to 8 p.m., seven days a week.

At Banner Medicare Advantage Prime, we take the privacy of your health information seriously. We understand that you depend on us to protect your personal information. Our notice will tell both current and former members how we work to protect your health information.

This Notice explains how we protect health information for current and former members. By law, we must maintain the privacy of your health information. We must also provide you with a description of our legal duties and privacy practices. We must abide by the terms of this Notice and notify you if your health information is subject to a breach of unsecured protected health information.

Our Customer Care Center can answer questions about this Notice or send another copy.