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38-20 Bowne Street
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(347) 532-3000
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Did you miss the Medicare open enrollment period?
YOU CAN STILL ENROLL IN A HEALTH PLAN
Call for eligibility and enrollment options $0 OR LOW COST PLAN PREMIUMS
718-696-0206 • TTY/TDD 800-662-1220 • agewellnewyork.com
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AgeWell New York, LLC is a HMO plan with Medicare and Medicaid contracts. Enrollment in AgeWell New York, LLC depends on contract renewal. This information is not a
complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/coinsurance
may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Premiums, copays, co-insurance and deductibles may vary based on
the level of Extra Help you receive. Please contact the plan for further details. AgeWell New York complies with applicable Federal civil rights laws and does not discriminate on the
basis of race, color, national origin, age, disability, or sex. AgeWell New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color,
national origin, age, disability, or sex. AgeWell New York cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad,
edad, discapacidad o sexo. AgeWell New York����������������������������������������������������������������������������������������ATTENTION:
If you do not speak English, language assistance services, free of charge, are available to you. Call 1-866-586-8044 (TTY: 1-800-662-1220). ATENCIÓN: si habla español,
tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-586-8044 (TTY: 1-800-662-1220). ����������������������������������������
�������������������� 1-866-586-8044 (TTY: 1-800-662-1220). H4922_SEPI4002 Accepted 02052018