get information from us in a way that works for you . This includes getting the information in languages other than English and in large print or other alternate formats .)
Please call Customer Service for more detailed information . This includes , for example , information about the plan ’ s financial condition . It also includes information about the number of appeals made by members and the plan ’ s performance ratings , including how it has been rated by plan members and how it compares to other Medicare Advantage health plans .
Information about our network providers including our network pharmacies .
• For example , you have the right to get information from us about the qualifications of the providers and pharmacies in our network and how we pay the providers in our network .
• For a list of the providers in the plan ’ s network , see the Provider Directory .
• For a list of the pharmacies in the plan ’ s network , see the Pharmacy Directory .
• For more detailed information about our providers and pharmacies , you can call Customer Service or visit our website at
www . SeniorCarePlus . com .
Information about your coverage and rules you must follow in using your coverage .
• In Chapters 3 and 4 of the Evidence of Coverage , we explain what medical services are covered for you , any restrictions to your coverage , and what rules you must follow to get your covered medical services .
• To get the details on your Part D prescription drug coverage , see Chapters 5 and 6 of the Evidence of Coverage plus the plan ’ s List of Covered Drugs ( Formulary ). These chapters , together with the List of Covered Drugs , tell you what drugs are covered and explain the rules you must follow and the restrictions to your coverage for certain drugs .
• If you have questions about the rules or restrictions , please call Customer Service .
Information about why something is not covered and what you can do about it .
• If a medical service or Part D drug is not covered for you , or if your coverage is restricted in some way , you can ask us for a written explanation . You have the right to this explanation even if you received the medical service or drug from an out-of-network provider or pharmacy .
• If you are not happy or if you disagree with a decision we make about what medical care or Part D drug is covered for you , you have the right to ask us
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