2018 Benefits & Resources

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Documents
Summary of Benefits
Participant Handbook
Your Rights and Responsibilities upon Disenrollment
Over-the-Counter Benefit
Medicare Star Ratings
Grievances Exceptions Coverage Determinations & Appeals
List of Covered Drugs (Formulary)
Formulary Changes
Medicare Part D Transition Policy
Part D Quality Assurance Policy
Personal Medication List
Can you ask for an exception to cover your drug?
Medication Therapy Managment Program
Part D Prior Authorization Criteria

Step Therapy Authorization Criteria
Provider & Pharmacy Directory: New York Queens Richmond Kings Bronx
Provider Directory Addendum
Request Provider/Pharmacy Directory or List of Covered Drugs (Formulary) by Mail

Privacy Notice
Non-Discrimination Notice
Passport to Good Health Rewards Program


Part D
Part D Coverage Determination Form
Part D Reconsideration Form

Prescription Claim Reimbrusement Form

Prescription Drug Mail Order Form
Part D Authorization Portal

How to Appoint a Representative
New York State Health Care Proxy
Appointment of Representative form

FIDA Participant Advisory Committee (PAC)/Feedback Sessions/Town Hall Meetings
GuildNet invites GuildNet Gold Plus FIDA Plan participants to participate in Participant Advisory Committee (PAC)/Town Hall/Feedback sessions, which meet quarterly.  GuildNet ensures that GuildNet Gold Plus FIDA participants have access to the FIDA PAC/Town Hall/Feedback Sessions, either in-person or remotely. GuildNet assists Participants with transportation, reasonable accommodations to meet Participants’ needs, translation services and other support to help attend the in-person meetings and light refreshments are provided. In addition, the meetings may be telephonic and at least one call focuses on family caregivers, in addition to participants. Summaries of the FIDA PAC Town Hall/Feedback sessions are available on the GuildNet website. Participants are invited to identify problems and concerns at these meetings/calls and provide positive feedback. GuildNet staff provide updates and Frequently Asked Questions (FAQs), as well as other vital information to participants.

FIDA participants interested in attending may call Participant Services at 800-815-0000 (TTY users call 711).

2018 PAC Meeting Calendar
Virtual Meeting, March 8, 2018
New York County, December 7, 2017
Virtual Meeting, September 7, 2017
Virtual Meeting, June 8, 2017

New York County, March 23, 2017

Links
Independent Consumer Advocacy Network
Medicare Complaint Form
NY Medicaid Choice

Provider Materials
Provider Manual
Non-Participating Provider Waiver of Liability Statement

H0811_GN654_2018 Website_Approved
Last updated 5/14/18