2015 Piedmont WellStar Medicare Choice (HMO) Plan Information

Use the resources and forms below to get the information you need about the Piedmont WellStar Medicare Choice (HMO) Plan.

Summary of Benefits

Evidence of Coverage Forms

Annual Notice of Change

Plan Ratings Information

Provider & Pharmacy Directories

Authorized Representative Forms

Piedmont WellStar Medicare Choice (HMO) Service Area Map

Piedmont WellStar Medicare Choice (HMO) Exclusions and Limitations Information

Notice of Privacy Practices

Helpful Websites About Medicare

Piedmont WellStar Medicare Choice is a Medicare Advantage HMO organization with a Medicare Contract. Enrollment in Piedmont WellStar Medicare Choice depends on contract renewal.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance] may change on January 1 of each year.

*Our hours of operation change throughout the year. We are available to take your call: Oct. 1 through Feb. 14 Monday through Sunday: 8 a.m. to 8 p.m., and Feb.15 through Sept. 30 Monday through Friday: 8 a.m. to 8 p.m. and Saturday: 8 a.m. to 3 p.m.