First Health Part D is a Medicare approved Part D Sponsor whose contract with CMS is renewed annually; availability of coverage beyond the end of 2010 is not guaranteed. You must be entitled to Medicare benefits under Part A or enrolled in Part B, and reside in the First Health Part D service area. You may only enroll in one Part D Benefit Plan (PDP) at a time and only during specific times of the year. If you are enrolled in a Medicare coordinated care (HMO or PPO) plan or a Medicare Advantage (MA) Private Fee-for-Service (PFFS) plan that includes Medicare prescription drugs, you may not enroll in a PDP unless you disenroll from the HMO, PPO or MA PFFS plan. Enrollees in a PFFS plan that does not provide Medicare prescription drug coverage, or a MA Medical Savings Account (MSA) plan may enroll in a PDP. Enrollees in an 1876 Cost plan may enroll in a PDP. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/seven days a week; or the Social Security Administration at 1-800-772-1213 between 7:00 a.m. and 7:00 p.m., Monday through Friday. TTY/TDD users should call 1-800-325-0778; or your State Medicaid Office.

Medicare beneficiaries may enroll in First Health Part D through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact First Health Part D at 1-800-588-3322 TTY/TDD users call 1-888-788-4010, 8am to 8pm, local time seven days a week. This document is available in other formats. Brokers are paid a commission upon beneficiary enrollment. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use network pharmacies.

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