Disclaimers and Directory Instructions

Longevity Health Plan is an HMO I-SNP and PPO I-SNP with a Medicare contract. Enrollment in Longevity Health Plan plans depend on contract renewal. Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Medicare beneficiaries may also enroll in Longevity Health Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

ALL STATES Online Drug List (Formulary) Instruction and Disclaimers

 2021 Formulary List of Covered Drugs for Longevity Health Plan (HMO I-SNP)

PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION

ABOUT THE DRUGS WE COVER IN THIS PLAN

 HPMS Approved Formulary File Submission ID 00021504, Version Number 05  

This formulary was updated as of the first of the current month. For more recent information or other questions, please contact us, Longevity Health Plan (HMO I-SNP) Member Services at https://www.longevityhealthplan.com/contact-us/. Our hours are 8am to 8pm daily excluding major holidays.

Note to existing members:  This formulary has changed since last year.  Please review this document to make sure that it still contains the drugs you take.

When this drug list (formulary) refers to “we,” “us”, or “our,” it means Longevity Health Plan (HMO I-SNP). When it refers to “plan” or “our plan,” it means Longevity Health Plan (HMO I-SNP).

This document includes list of the drugs (formulary) for our plan which is current as of the first of the current month. For an updated formulary, please contact us. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages.

You must generally use network pharmacies to use your prescription drug benefit.  Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on the first of the following year, and from time to time during the year.

What is the Longevity Health Plan (HMO I-SNP) Formulary?

A formulary is a list of covered drugs selected by Longevity Health Plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.  Longevity Health Plan will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Longevity Health Plan network pharmacy, and other plan rules are followed.  For more information on how to fill your prescriptions, please review your Evidence of Coverage.

Can the Formulary (drug list) change?

Most changes in drug coverage happen on January 1, but we may add or remove drugs on the Drug List during the year, move them to different cost-sharing tiers, or add new restrictions. We must follow the Medicare rules in making these changes.

Changes that can affect you this year:  In the below cases, you will be affected by coverage changes during the year:

  • New generic drugs. We may immediately remove a brand name drug on our Drug List if we are replacing it with a new generic drug that will appear on the same or lower cost sharing tier and with the same or fewer restrictions. Also, when adding the new generic drug, we may decide to keep the brand name drug on our Drug List, but immediately move it to a different cost-sharing tier or add new restrictions. If you are currently taking that brand name drug, we may not tell you in advance before we make that change, but we will later provide you with information about the specific change(s) we have made.
    • If we make such a change, you or your prescriber can ask us to make an exception and continue to cover the brand name drug for you. The notice we provide you will also include information on how to request an exception, and you can also find information in the section below entitled “How do I request an exception to the Longevity Health Plan (HMO I-SNP)’ Formulary?”
  • Drugs removed from the market. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug’s manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug.
  • Other changes. We may make other changes that affect members currently taking a drug. For instance, we may add a generic drug that is not new to market to replace a brand name drug currently on the formulary; or add new restrictions to the brand name drug or move it to a different cost sharing tier or both. Or we may make changes based on new clinical guidelines. If we remove drugs from our formulary, [or] add prior authorization, quantity limits and/or step therapy restrictions on a drug, we must notify affected members of the change at least 30 days before the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 30-day supply of the drug.
    • If we make these other changes, you or your prescriber can ask us to make an exception and continue to cover the brand name drug for you. The notice we provide you will also include information on how to request an exception, and you can also find information in the section below entitled “How do I request an exception to the Longevity Health Plan (HMO I-SNP)’s Formulary?

Changes that will not affect your current drug. The enclosed formulary is current as of the first of the current month.  To get updated information about the drugs covered by Longevity Health Plan, please contact us. Our contact information appears on the front and back cover pages. The formulary will be updated and posted at the beginning of each month with the most current information.  

How do I use the Formulary?

There are two ways to find your drug within the formulary:

Medical Condition

 The drugs in this formulary are grouped into categories depending on the type of medical conditions that they are used to treat. For example, drugs used to treat a heart condition are listed under the category, Cardiovascular agents.  If you know what your drug is used for, look for the category name in the list.  Then look under the category name for your drug.

Alphabetical Listing

The Index provides an alphabetical list of all of the drugs included in this document.  Both brand name drugs and generic drugs are listed in the Index.  Look in the Index and find your drug.  Next to your drug, you will see the page number where you can find coverage information.  Turn to the page listed in the Index and find the name of your drug in the first column of the list.

What are generic drugs?

Longevity Health Plan covers both brand name drugs and generic drugs. A generic drug is approved by the FDA as having the same active ingredient as the brand name drug.  Generally, generic drugs cost less than brand name drugs.

Are there any restrictions on my coverage?

Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include:

  • Prior Authorization: Longevity Health Plan requires you [or your physician] to get prior authorization for certain drugs.  This means that you will need to get approval from Longevity Health Plan before you fill your prescriptions.  If you don’t get approval, Longevity Health Plan may not cover the drug.
  • Quantity Limits: For certain drugs, Longevity Health Plan limits the amount of the drug that Longevity Health Plan will cover.  For example, Longevity Health Plan provides 120 units per prescription for morphine sulfate 15mg er tables.  This may be in addition to a standard one-month or three-month supply.
  • Step Therapy: In some cases, Longevity Health Plan requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition.  For example, if Drug A and Drug B both treat your medical condition, Longevity Health Plan may not cover Drug B unless you try Drug A first.  If Drug A does not work for you, Longevity Health Plan will then cover Drug B.

You can find out if your drug has any additional requirements or limits by looking in the formulary.  You can also get more information about the restrictions applied to specific covered drugs by visiting our Web site. We have posted online a document that explain our prior authorization and step therapy restrictions. You may also ask us to send you a copy. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages.

You can ask Longevity Health Plan to make an exception to these restrictions or limits or for a list of other, similar drugs that may treat your health condition. See the section, “How do I request an exception to the Longevity Health Plan’s formulary?” for information about how to request an exception.

What if my drug is not on the Formulary?

If your drug is not included in this formulary (list of covered drugs), you should first contact Member Services and ask if your drug is covered.

If you learn that Longevity Health Plan does not cover your drug, you have two options:

  • You can ask Member Services for a list of similar drugs that are covered by Longevity Health Plan.  When you receive the list, show it to your doctor and ask him or her to prescribe a similar drug that is covered by Longevity Health Plan.
  • You can ask Longevity Health Plan to make an exception and cover your drug. See below for information about how to request an exception.

How do I request an exception to the Longevity Health Plan (HMO I-SNP)’s Formulary?

You can ask Longevity Health Plan to make an exception to our coverage rules.  There are several types of exceptions that you can ask us to make.

  • You can ask us to cover a drug even if it is not on our formulary. If approved, this drug will be covered at a pre-determined cost-sharing level, and you would not be able to ask us to provide the drug at a lower cost-sharing level.
  • You can ask us to waive coverage restrictions or limits on your drug.  For example, for certain drugs, Longevity Health Plan limits the amount of the drug that we will cover.  If your drug has a quantity limit, you can ask us to waive the limit and cover a greater amount. 

Generally, Longevity Health Plan will only approve your request for an exception if the alternative drugs included on the plan’s formulary, [the lower cost-sharing drug] or additional utilization restrictions would not be as effective in treating your condition and/or would cause you to have adverse medical effects.

You should contact us to ask us for an initial coverage decision for a formulary.  When you request a formulary you should submit a statement from your prescriber or physician supporting your request.  Generally, we must make our decision within 72 hours of getting your prescriber’s supporting statement.  You can request an expedited (fast) exception if you or your doctor believe that your health could be seriously harmed by waiting up to 72 hours for a decision.  If your request to expedite is granted, we must give you a decision no later than 24 hours after we get a supporting statement from your doctor or other prescriber.

What do I do before I can talk to my doctor about changing my drugs or requesting an exception?

As a new or continuing member in our plan you may be taking drugs that are not on our formulary. Or, you may be taking a drug that is on our formulary but your ability to get it is limited.  For example, you may need a prior authorization from us before you can fill your prescription.  You should talk to your doctor to decide if you should switch to an appropriate drug that we cover or request a formulary exception so that we will cover the drug you take.  While you talk to your doctor to determine the right course of action for you, we may cover your drug in certain cases during the first 90 days you are a member of our plan.

For each of your drugs that is not on our formulary or if your ability to get your drugs is limited, we will cover a temporary 31-day supply. If your prescription is written for fewer days, we’ll allow refills to provide up to a maximum 31-day supply of medication. After your first 31-day supply, we will not pay for these drugs, even if you have been a member of the plan less than 90 days.

If you are a resident of a long-term care facility and you need a drug that is not on our formulary or if your ability to get your drugs is limited, but you are past the first 90 days of membership in our plan, we will cover a 31-day emergency supply of that drug while you pursue a formulary exception.

We will provide a one-time 31-day transition supply per drug, which will cover a temporary supply if you have a change in your medications due to a level-of-care change. A level of care change may include:

  • Entering or leaving an LTC facility
  • Discharged from a hospital or home
  • End a Medicare Part A skilled nursing facility stay
  • Give up Hospice status and revert back to standard Medicare benefits
  • End an LTC Facility stay and return to their home

For more information

For more detailed information about your Longevity Health Plan prescription drug coverage, please review your Evidence of Coverage and other plan materials.

If you have questions about Longevity Health Plan, please contact us. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages.

If you have general questions about Medicare prescription drug coverage, please call Medicare at 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week.  TTY users should call 1-877-486-2048.  Or, visit http://www.medicare.gov.

Longevity Health Plan’s Formulary

The formulary below provides coverage information about the drugs covered by Longevity Health Plan.  If you have trouble finding your drug in the list, turn to the Index that begins on page 102.

The first column of the chart lists the drug name. Brand name drugs are capitalized (e.g., TIVICAY 10MG TAB) and generic drugs are listed in lower-case italics (e.g., zidovudine 100mg cap),

The information in the Requirements/Limits column tells you if Longevity Health Plan has any special requirements for coverage of your drug.

  • First Fill Limited to one-month supply (FF): You may be able to receive greater than a 1-monthsupply of most of the drugs on your Formulary. Drugs noted with “FF” are limited to a 1-monthsupply for both Retail on your first fill only. After the first fill, an extended day supply would be available.
  • Limited Distribution (LD): The symbol [LD] next to a drug name indicates that the drug has been noted as being restricted to certain pharmacies by the Food and Drug Administration. These drug scan only be obtained at specialty designated pharmacies able to appropriately handle the drugs.
  • Non-Extended Day Supply (NDS): You may be able to receive greater than a 1-month supply of most of the drugs on your Formulary at a reduced cost share. Drugs noted with “NDS” are limited to a 1-month supply for both Retail.
  • Prior Authorization (PA): The plan requires you (or your physician) to get prior authorization for certain drugs. This means that you will need to get approval from The Plan before you fill your prescriptions. If you don’t get approval, The Plan may not cover the drug. 
  • Prior Authorization Restriction for Part B vs Part D Determination (PA_BvD): This drug may be eligible for payment under Medicare Part B or Part D. You (or your physician) are required to get prior authorization from The Plan to determine that this drug is covered under Medicare Part D before you fill your prescription for this drug. Without prior approval, The Plan may not cover this drug.
  • Prior Authorization Restriction for New Starts Only (PA_NSO): If this drug is new to the member, you (or your physician) are required to get prior authorization from The Plan before you fill your prescription for this drug. Without prior approval, The Plan may not cover this drug.
  • Quantity Limits (QL): For certain drugs, The Plan limits the amount of the drug that The Plan will cover. This could include a: per fill, daily, monthly, or yearly limitation.
  • Step Therapy (ST): In some cases, The Plan requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, The Plan may not cover Drug B unless you try Drug A first. If Drug A does not work for you, The Plan will then cover Drug B.
  • Step Therapy for New Starts Only (ST_NSO): If this drug is new to the member, you are required to first try certain drugs to treat your medical condition before we will cover another drug for that condition.

This formulary was updated on the first of the current month. For more recent information or other questions, please contact us, Longevity Health Plan (HMO I-SNP) Member Services https://www.longevityhealthplan.com/contact-us/

Generally, if you are taking a drug on our 2021 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2021 coverage year except as described above.  This means these drugs will remain available at the same cost sharing and with no new restrictions for those members taking them for the remainder of the coverage year. You will not get direct notice this year about changes that do not affect you. However, on January 1 of the next year, such changes would affect you, and it is important to check the Drug List for the new benefit year for any changes to drugs.

Colorado Provider Directory Instructions

Plan Provider Directory

This directory is current as of today.

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of Colorado.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-313-3609 (TTY 711).
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-313-3609 (TTY 711)

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care.

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at 1-888-313-3609 (TTY 711) .

About the Longevity Health Plan Provider Network

Our network providers are the doctors, health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with Longevity Health Plan to accept our payment and your cost-sharing amount as payment in full.

YWe have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for the care they provide to you. When you see a network provider, you pay only your share of the cost for their services. You should use network providers for all your services.

Out-of-Network Providers

Only in limited cases, may you receive covered services from out-of-network providers. These cases include:

  • A medical emergency – go to the closest available provider
  • Urgently needed services – go to any qualified provider when out of the Plan’s service area, or when network providers are unavailable
  • Renal dialysis that you receive when you are outside the Plan’s service area
  • Services that have been approved in advance by Longevity Health Plan, and
  • Any services which were covered through the appeals process

You should always see a network provider unless one of the limited cases mentioned above applies. If you choose to receive services from an out-of-network provider, they must request prior approval from Longevity Health Plan unless it is an emergency to an acute care hospital.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you will need to pay. If you receive a bill from an out of network provider, but have not yet received an EOB, please submit the bill to Longevity Health Plan or ask the provider to submit the bill to Longevity Health Plan for you. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost (if prior approval was obtained). If you have any questions, visit our “how to file an appeal” section of our website located at longevityhealthplan.com/member-resources/ or call our Member Services Department at 1-888-313-3609 (TTY 711) .

Payment for services is contingent upon:

The counties in our service area are listed below:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan.
  • The service(s) meet requirements for medical necessity.
  • An authorization or referral was obtained.

Note: Temporary out-of-network dialysis services when you are out of the service area, medical emergencies, and urgently needed medical services do not require notification or preauthorization for payment.

You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Longevity Health Plan will be responsible for the costs.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Adams
  • Arapahoe
  • Boulder
  • Denver
  • Douglas
  • El Paso
  • Fremont
  • Jefferson
  • Larimer
  • Mesa
  • Montrose
  • Morgan
  • Pueblo
  • Weld

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Select the type of provider you are looking for, doctor/health care professional, or medical facility.

Step 3: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-888-313-3609 (TTY 711), TTY users should call 711, or visit LongevityHealthPlan.com.

Florida Provider Directory Instructions

Plan Provider Directory

 

This directory is current as of today.

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of Florida.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-224-9499 (TTY 711).

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-866-224-9499 (TTY 711).

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care.

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at 1-866-224-9499 (TTY 711).

About the Longevity Health Plan Provider Network

Our network providers are the doctors, health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with Longevity Health Plan to accept our payment and your cost-sharing amount as payment in full.

We have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for the care they provide to you. When you see a network provider, you pay only your share of the cost for their services. You should use network providers for all your services.

Out-of-Network Providers

Only in limited cases, may you receive covered services from out-of-network providers. These cases include:

  • A medical emergency – go to the closest available provider
  • Urgently needed services – go to any qualified provider when out of the Plan’s service area, or when network providers are unavailable
  • Renal dialysis that you receive when you are outside the Plan’s service area
  • Services that have been approved in advance by Longevity Health Plan, and
  • Any services which were covered through the appeals process

You should always see a network provider unless one of the limited cases mentioned above applies. If you choose to receive services from an out-of-network provider, they must request prior approval from Longevity Health Plan unless it is an emergency to an acute care hospital.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you will need to pay. If you receive a bill from an out of network provider, but have not yet received an EOB, please submit the bill to Longevity Health Plan or ask the provider to submit the bill to Longevity Health Plan for you. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost (if prior approval was obtained). If you have any questions, visit our “how to file an appeal” section of our website located at longevityhealthplan.com/member-resources/ or call our Member Services Department at 1-866-224-9499 (TTY 711).

Payment for services is contingent upon:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan.
  • The service(s) meet requirements for medical necessity.
  • An authorization or referral was obtained.

Note: Temporary out-of-network dialysis services when you are out of the service area, medical emergencies, and urgently needed medical services do not require notification or preauthorization for payment.

You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Longevity Health Plan will be responsible for the costs.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Broward
  • Miami-Dade
  • Hillsborough
  • Orange
  • Palm Beach
  • Pasco
  • Pinellas
  • Polk
  • Seminole

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Select the type of provider you are looking for, doctor/health care professional, or medical facility.

Step 3: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-866-224-9499 (TTY 711), TTY users should call 711, or visit LongevityHealthPlan.com.

Illinois Provider Directory Instructions

Plan Provider Directory

This directory is current as of today.

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of Illinois.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-886-9770 (TTY 711).

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-888-886-9770 (TTY 711).

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at 1-888-886-9770 (TTY 711).

About the Longevity Health Plan Provider Network

Our network providers are the doctors, health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with Longevity Health Plan to accept our payment and your cost-sharing amount as payment in full.

We have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for the care they provide to you. When you see a network provider, you pay only your share of the cost for their services. You should use network providers for all your services.

Out-of-Network Providers

Only in limited cases, may you receive covered services from out-of-network providers. These cases include:

  • A medical emergency – go to the closest available provider
  • Urgently needed services – go to any qualified provider when out of the Plan’s service area, or when network providers are unavailable
  • Renal dialysis that you receive when you are outside the Plan’s service area
  • Services that have been approved in advance by Longevity Health Plan, and
  • Any services which were covered through the appeals process

You should always see a network provider unless one of the limited cases mentioned above applies. If you choose to receive services from an out-of-network provider, they must request prior approval from Longevity Health Plan unless it is an emergency to an acute care hospital.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you will need to pay. If you receive a bill from an out of network provider, but have not yet received an EOB, please submit the bill to Longevity Health Plan or ask the provider to submit the bill to Longevity Health Plan for you. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost (if prior approval was obtained). If you have any questions, visit our “how to file an appeal” section of our website located at longevityhealthplan.com/member-resources/ or call our Member Services Department at 1-888-886-9770 (TTY 711).

Payment for services is contingent upon:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan.
  • The service(s) meet requirements for medical necessity.
  • An authorization or referral was obtained.

Note: Temporary out-of-network dialysis services when you are out of the service area, medical emergencies, and urgently needed medical services do not require notification or preauthorization for payment.

You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Longevity Health Plan will be responsible for the costs.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Cook
  • DuPage
  • Lake

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-888-886-9770 (TTY 711), TTY users should call 711, or visit LongevityHealthPlan.com.

Michigan Provider Directory Instructions

Plan Provider Directory

 

This directory is current as of today.

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of Michigan.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-312-8825 (TTY 711).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 11-888-312-8825 (711 رقم هاتف الصم والبكم).

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care.

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at 1-888-312-8825 (TTY 711).

About the Longevity Health Plan Provider Network

Our network providers are the doctors, health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with Longevity Health Plan to accept our payment and your cost-sharing amount as payment in full.

YWe have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for the care they provide to you. When you see a network provider, you pay only your share of the cost for their services. You should use network providers for all your services.

Out-of-Network Providers

Only in limited cases, may you receive covered services from out-of-network providers. These cases include:

  • A medical emergency – go to the closest available provider
  • Urgently needed services – go to any qualified provider when out of the Plan’s service area, or when network providers are unavailable
  • Renal dialysis that you receive when you are outside the Plan’s service area
  • Services that have been approved in advance by Longevity Health Plan, and
  • Any services which were covered through the appeals process

You should always see a network provider unless one of the limited cases mentioned above applies. If you choose to receive services from an out-of-network provider, they must request prior approval from Longevity Health Plan unless it is an emergency to an acute care hospital.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you will need to pay. If you receive a bill from an out of network provider, but have not yet received an EOB, please submit the bill to Longevity Health Plan or ask the provider to submit the bill to Longevity Health Plan for you. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost (if prior approval was obtained). If you have any questions, visit our “how to file an appeal” section of our website located at longevityhealthplan.com/member-resources/ or call our Member Services Department at 1-888-312-8825 (TTY 711) .

Payment for services is contingent upon:

The counties in our service area are listed below:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan.
  • The service(s) meet requirements for medical necessity.
  • An authorization or referral was obtained.

Note: Temporary out-of-network dialysis services when you are out of the service area, medical emergencies, and urgently needed medical services do not require notification or preauthorization for payment.

You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Longevity Health Plan will be responsible for the costs.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Calhoun
  • Genesee
  • Grand Traverse
  • Ingham
  • Kalamazoo
  • Kent
  • Livingston
  • Macomb
  • Monroe
  • Oakland
  • Ogemaw
  • Ottowa
  • Saginaw
  • St. Clair
  • Washentaw
  • Wayne

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Select the type of provider you are looking for, doctor/health care professional, or medical facility.

Step 3: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-888-312-8825 (TTY 711), TTY users should call 711, or visit LongevityHealthPlan.com.

New Jersey Provider Directory Instructions

Plan Provider Directory

This directory is current as of today.

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of New Jersey.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-899-8490 (TTY 711).

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-899-8490 (TTY 711)

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care.

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at 1-888-899-8490 (TTY 711).

About the Longevity Health Plan Provider Network

Our network providers are the doctors and other health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with us to accept our payment and your cost-sharing amount as payment in full.

You may go to any of our network providers listed in this directory, and you may also receive services from out-of-network providers. Before receiving services from an out-of-network provider, you may want to contact Longevity Health Plan to confirm if prior authorization is required, and if the services you are receiving are covered by the plan

We have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for care they give you. When you see a network provider, you pay only your share of the cost for their services. If you use an out-of-network provider, your share of the costs for your covered services may be higher.

In most cases, the out-of-network provider must be eligible to participate in Medicare. If you receive care from a provider who is not eligible to participate in Medicare, you will be responsible for the full cost of the services you receive. Check with your provider before receiving services to confirm that they are eligible to participate in Medicare.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you need to pay. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost, if prior approval is obtained. If you have any questions, visit longevityhealthplan.com or call member services at 1-888-899-8490 (TTY 711).

Payment for services is contingent upon:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan
  • The service(s) meet requirement for medical necessity and authorization is obtained where necessary

Out-of-network providers are under no obligation to treat Longevity Health Plan enrollees, except in emergencies. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our Member Services at 1-888-899-8490 (TTY 711). You may also refer to your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Bergen
  • Burlington
  • Camden
  • Essex
  • Hudson
  • Mercer
  • Middlesex
  • Monmouth
  • Morris
  • Ocean
  • Passaic
  • Somerset
  • Union

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Select the type of provider you are looking for, doctor/health care professional, or medical facility.

Step 3: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-888-899-8490 (TTY 711), TTY users should call 711, or visit LongevityHealthPlan.com.

New York Provider Directory Instructions

Plan Provider Directory

This directory is current as of today

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of New York.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-885-7337 (TTY 711).

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-885-7337 (TTY 711)。

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care.

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at -888-885-7337 (TTY 711).

About the Longevity Health Plan Provider Network

Our network providers are the doctors, health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with Longevity Health Plan to accept our payment and your cost-sharing amount as payment in full.

We have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for the care they provide to you. When you see a network provider, you pay only your share of the cost for their services. You should use network providers for all your services.

Out-of-Network Providers

Only in limited cases, may you receive covered services from out-of-network providers. These cases include:

  • A medical emergency – go to the closest available provider
  • Urgently needed services – go to any qualified provider when out of the Plan’s service area, or when network providers are unavailable
  • Renal dialysis that you receive when you are outside the Plan’s service area
  • Services that have been approved in advance by Longevity Health Plan, and
  • Any services which were covered through the appeals process

You should always see a network provider unless one of the limited cases mentioned above applies. If you choose to receive services from an out-of-network provider, they must request prior approval from Longevity Health Plan unless it is an emergency to an acute care hospital.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you will need to pay. If you receive a bill from an out of network provider, but have not yet received an EOB, please submit the bill to Longevity Health Plan or ask the provider to submit the bill to Longevity Health Plan for you. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost (if prior approval was obtained). If you have any questions, visit our “how to file an appeal” section of our website located at longevityhealthplan.com/member-resources/ or call our Member Services Department at -888-885-7337 (TTY 711).

Payment for services is contingent upon:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan.
  • The service(s) meet requirements for medical necessity.
  • An authorization or referral was obtained.

Note: Temporary out-of-network dialysis services when you are out of the service area, medical emergencies, and urgently needed medical services do not require notification or preauthorization for payment.

You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Longevity Health Plan will be responsible for the costs.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Bronx
  • Kings
  • Nassau
  • New York
  • Queens
  • Richmond
  • Suffolk
  • Westchester

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Select the type of provider you are looking for, doctor/health care professional, or medical facility.

Step 3: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-888-885-7337 (TTY 711), TTY users should call 711, or visit LongevityHealthPlan.com.

North Carolina Provider Directory Instructions

Plan Provider Directory

This directory is current as of today.

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of North Carolina.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-312-5196 (TTY 711).
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-312-5196 (TTY 711).

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care.

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at 1-888-312-5196 (TTY 711) .

About the Longevity Health Plan Provider Network

Our network providers are the doctors, health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with Longevity Health Plan to accept our payment and your cost-sharing amount as payment in full.

YWe have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for the care they provide to you. When you see a network provider, you pay only your share of the cost for their services. You should use network providers for all your services.

Out-of-Network Providers

Only in limited cases, may you receive covered services from out-of-network providers. These cases include:

  • A medical emergency – go to the closest available provider
  • Urgently needed services – go to any qualified provider when out of the Plan’s service area, or when network providers are unavailable
  • Renal dialysis that you receive when you are outside the Plan’s service area
  • Services that have been approved in advance by Longevity Health Plan, and
  • Any services which were covered through the appeals process

You should always see a network provider unless one of the limited cases mentioned above applies. If you choose to receive services from an out-of-network provider, they must request prior approval from Longevity Health Plan unless it is an emergency to an acute care hospital.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you will need to pay. If you receive a bill from an out of network provider, but have not yet received an EOB, please submit the bill to Longevity Health Plan or ask the provider to submit the bill to Longevity Health Plan for you. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost (if prior approval was obtained). If you have any questions, visit our “how to file an appeal” section of our website located at longevityhealthplan.com/member-resources/ or call our Member Services Department at 1-888-312-5196 (TTY 711) .

Payment for services is contingent upon:

The counties in our service area are listed below:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan.
  • The service(s) meet requirements for medical necessity.
  • An authorization or referral was obtained.

Note: Temporary out-of-network dialysis services when you are out of the service area, medical emergencies, and urgently needed medical services do not require notification or preauthorization for payment.

You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Longevity Health Plan will be responsible for the costs.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Almance
  • Buncombe
  • Cabarrus
  • Cumberland
  • Catawba
  • Davidson
  • Duplin
  • Durham
  • Edgecombe
  • Forsyth
  • Gaston
  • Guilford
  • Henderson
  • Iredell
  • Johnston
  • Lincoln
  • Mecklenburg
  • Moore
  • New Hanover
  • Pitt
  • Randolf
  • Robeson
  • Rockingham
  • Rowan
  • Rutherford
  • Surry
  • Union
  • Wake
  • Wayne
  • Wilson

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Select the type of provider you are looking for, doctor/health care professional, or medical facility.

Step 3: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-888-312-5196 (TTY 711) , TTY users should call 711, or visit LongevityHealthPlan.com.

Oklahoma Provider Directory Instructions

Plan Provider Directory

This directory is current as of today.

This directory provides a list of Longevity Health Plan’s current network providers.

This directory is for Longevity Health Plan’s residents of Oklahoma.

Statement of Nondiscrimination and Alternate Formats

Longevity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-585-1611 (TTY 711).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-585-1611 (TTY 711).

Introduction

This directory provides a list of Longevity Health Plan’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

You will have to choose one of our network providers in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care coverage from your PCP. Your PCP works in collaboration with your Longevity Health Plan Nurse Practitioner to assure you receive seamless, patient-centered care.

The network providers listed in this directory have agreed to provide you with health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. To obtain a referral, please contact your PCP or Nurse Practitioner.

For a complete listing of services that require prior authorization, or a referral, please refer to the Member Resources section of the Longevity Health Plan website at LongevityHealthPlan.com or call our Member Services Department at 1-888-585-1611 (TTY 711).

About the Longevity Health Plan Provider Network

Our network providers are the doctors, health care professionals, medical groups, hospitals, and other health care facilities that have an agreement with Longevity Health Plan to accept our payment and your cost-sharing amount as payment in full.

We have arranged for these providers to deliver covered services to members in our plan. The providers in our network bill us directly for the care they provide to you. When you see a network provider, you pay only your share of the cost for their services. You should use network providers for all your services.

Out-of-Network Providers

Only in limited cases, may you receive covered services from out-of-network providers. These cases include:

  • A medical emergency – go to the closest available provider
  • Urgently needed services – go to any qualified provider when out of the Plan’s service area, or when network providers are unavailable
  • Renal dialysis that you receive when you are outside the Plan’s service area
  • Services that have been approved in advance by Longevity Health Plan, and
  • Any services which were covered through the appeals process

You should always see a network provider unless one of the limited cases mentioned above applies. If you choose to receive services from an out-of-network provider, they must request prior approval from Longevity Health Plan unless it is an emergency to an acute care hospital.

If you receive a bill from an out-of-network provider, you should not pay the bill, unless you have received an Explanation of Benefits (EOB) that details what the plan will pay for your service, and any remaining balance you will need to pay. If you receive a bill from an out of network provider, but have not yet received an EOB, please submit the bill to Longevity Health Plan or ask the provider to submit the bill to Longevity Health Plan for you. The out-of-network provider may also bill you for any remaining balance not paid by Longevity Health Plan.

If you have already paid for the covered services, Longevity Health Plan will reimburse you for our share of the cost (if prior approval was obtained). If you have any questions, visit our “how to file an appeal” section of our website located at longevityhealthplan.com/member-resources/ or call our Member Services Department at 1-888-585-1611 (TTY 711).

Payment for services is contingent upon:

The counties in our service area are listed below:

  • The services you received are included in Longevity Health Plan benefits as outlined in the Evidence of Coverage (EOC) that can be found on the plan website.
  • The provider, or medical facility, you received services from is eligible for payment from Longevity Health Plan.
  • The service(s) meet requirements for medical necessity.
  • An authorization or referral was obtained.

Note: Temporary out-of-network dialysis services when you are out of the service area, medical emergencies, and urgently needed medical services do not require notification or preauthorization for payment.

You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Longevity Health Plan will be responsible for the costs.

What is the service area for Longevity Health Plan?

The counties in our service area are listed below:

  • Canadian
  • Cherokee
  • Cleveland
  • Creek
  • Muskogee
  • Oklahoma
  • Okmulgee
  • Pottawatomie
  • Rogers
  • Tulsa

How do you find Longevity Health Plan providers that serve your area?

Step 1: Select your state to view in-network providers.

Step 2: Select the type of provider you are looking for, doctor/health care professional, or medical facility.

Step 3: Search by a specialty, name of provider, name of facility, or by the office location (city, state or zip code).

You may get directions or view the location on a map by clicking the image of the map on the right side of the provider’s information on the details page.

If you have questions about Longevity Health Plan, or require assistance in selecting a PCP, please call our Member Service Department at 1-888-585-1611 (TTY 711), TTY users should call 711, or visit LongevityHealthPlan.com.