For Current Members
Our goal is to provide you with the access to the health care providers, benefits, information and services that will allow you to stay in the best health possible.
Member Privacy
Community Health Plan is required by Federal law called the Health Information Portability and Accountability Act of 1996 (HIPAA) to maintain the privacy of your protected health information and to provide you with a notice of our legal duties and privacy practices with respect to your protected health information. Protected health information means any information, including information that is identifiable to you as your personal information including information on your health care and treatment, your name, age, address and social security number.
Click Here - Notice of Privacy Practices
Member Rights & Responsibilities
The purpose of this policy is to set forth the rights of Community HealthFirst's Medicare Advantage members in accordance with all applicable State and Federal laws, specifically 42 CFR §438.100 and including Title VI of the Civil Rights Act of 1964 as implemented by regulations at 45 CFR part 484; the Age Discrimination Act of 1975 as implemented by regulations at 45 CFR part 91; the Rehabilitation Act of 1973; and Titles II and III of the Americans with Disabilities Act and other laws regarding privacy and confidentiality.
Click Here - Member Rights and Responsibilities Policy Statement
Best Available Evidence Policy
If you believe you have qualified for extra help and you believe that you are paying an incorrect copayment amount when you get your prescriptions at a pharmacy, our Plan has established a process that will allow you to either request assistance in obtaining evidence of your proper copayment level, or, if you already have the evidence, to provide this evidence to us. If you believe that you should be paying a different copayment amount, please call the Community HealthFirst Customer Service Department, 7 days a week, from 8:00 am to 8:00 pm, at 1-800-942-0247 (TTY Relay: Dial 7-1-1).
To get more information about Best Available Evidence policy, please review your Evidence of Coverage. You can also visit the CMS website http://www.cms.hhs.gov/PrescriptionDrugCovContra/17_Best_Available_Evidence_Policy.asp.