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Disclosure Information
As an AvMed Medicare Member, you have the right to important information about your Plan, including our financial
condition. You have the right to have information about AvMed’s participating health care providers and their
qualifications, our network pharmacies, and how AvMed compares to other health plans. You also have the right to
find out from us how we pay our providers. Finally, you have the right under law to have a written coverage
pre-determination for any service, even if you obtain this service from a provider not participating with our
organization.
For your convenience, please click on any of the items below to see more information. For items not
listed here, please call Member Services at (800) 782-8633 [TTY users call (877) 442-8633].
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Provider Compensation Arrangement
- Information regarding payment to participating providers
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Appeals & Quality of Care Grievances
- General report on AvMed’s appeal and grievances. For more specific information about how to file a grievance
or an appeal, please call Member Services at (800) 782-8633 [TTY users call (877) 442-8633].
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Member Rights and Responsibilities
- Your rights and responsibilities as an AvMed member.
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Utilization Management
- Information regarding AvMed’s medical management process, including services requiring authorization, the
utilization management process, and establishing medical necessity for services.
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AvMed is a Medicare Advantage organization with a Medicare contract.
9400 S. Dadeland Blvd. Miami, FL 33156 - (800)782-8633 or TTY:(877)442-8633
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2010: H1016 CMS AD200 A11_09fv
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