As a member of Advicare Advocate, you have a number of rights we must honor and respect. The following is a list of those rights:

  • We must ensure that you get timely access to your covered services and drugs.
  • We must protect the privacy of your personal health information.
  • We must give you information about the plan, its network of providers, your covered services and your rights and responsibilities.
  • We must support your right to make decisions about your care.
  • You have the right to make complaints and to ask us to reconsider decisions we have made.
  • You have the right to make recommendations as well as get more information about your rights and responsibilities
  • We must provide information in a way that works for you (in languages other than English, in Braille, large print, or other alternative formats, etc.).

As a member of Advicare Advocate, you also have the following responsibilities:

  • Read the Member Handbook to learn what is covered and what rules you need to follow to get covered services and drugs
  • Participate in a comprehensive assessment within the first 60 or 90 days of enrollment
  • Tell us about any other health or prescription drug coverage you have
  • Tell your doctor and other health care providers that you are enrolled in our plan.
  • Help your doctors and other health care providers give you the best care.
  • Be considerate
  • Pay what you owe
  • Tell us if you move
  • Call Member Services for help if you have questions or concerns

You also have certain rights and responsibilities after you disenroll from our plan:

  • Until your membership ends, you must keep getting your medical services and drugs through our plan.
  • Until your membership ends, you are still a member of our plan.
  • You should continue to use our network pharmacies to get your prescriptions filled until your membership in our plan ends.
  • If you are hospitalized on the day that your membership ends, you will usually be covered by our plan until you are discharged (even if you are discharged after your new health coverage begins).
  • We cannot ask you to leave our plan for any reason related to your health.
  • You have the right to make a complaint if we end your membership in our plan.

Disclaimer

Advicare Advocate (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and South Carolina Healthy Connections Medicaid to provide benefits of both programs to enrollees. This information is available in other formats, such as Braille, large print, and audio. This information is also available for free in other languages.  Please call our customer service number at 1-844-564-0143 (TTY/TDD 711 or 1-888-357-7188), 8:00 a.m. until 8:00 p.m., seven days a week. The call is free.

Esta información está disponible de forma gratuita en otros idiomas. Por favor llame a nuestro número de atención al cliente al 1-844-564-0143 (TTY/TDD 711 o 1-888-357-7188), 8:00 a.m. hasta las 8:00 p.m., los siete días de la semana. La llamada es gratuita.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply.  For more information, call Advicare Advocate Member Services or refer to the Advicare Advocate Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks, and/or copayments may change from time to time throughout the year and on January 1 of each year.

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Plans are available in the following counties: Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Berkeley, Beaufort, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Jasper, Kershaw, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Union,Williamsburg.

Page Last Updated: July 15, 2015