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• 2024 Prescription Drug Coverage Determinations Grievances or Appeals PTHP

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• Multi-language Interpreter Services

  Multi-Language Interpreter Services- Updated 9-18-23 English: We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 1- 800-577-5084 (TTY 711). Someone who speaks English can help you. This is a free service. Spanish: Tenemos servicios de…

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• 2024 Provider Resources

  Provider Portal Login   Not Registered?  Provider Registration Guide Register as a Provider

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• 2024 Plan Information

  We believe that people choose PrimeTime Health Plan because of our person-to-person service, affordability, and clinical care coordination team. Our members are like our family. Whether they call or stop by our offices, the PrimeTime Team is always ready to talk with them and help them compare Medicare plans. PrimeTime…

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• 2024 Pharmacy Benefit

  PrimeTime Health Plan's Pharmacy Program provides you with a variety of prescription choices to meet your medication needs. Talk to your doctor about which prescriptions will work best for you. Generic medications, with the lowest co-payments, can be affordable alternatives that have met multiple quality and safety standards set by…

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• 2024 Formularies

  PrimeTime Health Plan formulary covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as…

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• 2024 Medication Therapy Management (MTM)

  Medication Therapy Management is a distinct service or group of services provided by health care providers, including pharmacists, to ensure the best therapeutic outcomes for patients. It includes five core elements: medication therapy review, a personal medication record, a medication-related action plan, intervention or referral and documentation and follow-up. A Part…

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• 2024 Forms

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• 2024 Additional Information

  How do Medicare Advantage Plans work? A Medicare Advantage is another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans, ” are offered by Medicare-approved private companies that must follow rules set by Medicare. If you join a Medicare…

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• Compare 2024 Plans

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