S8899_2018 Online Enrollment Form Approved 12/2017
Disclaimers
TakeCare Rx Plus is a PDP plan with a Medicare contract. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.
For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, members please call the number on your ID card, non-members please call 1-877-484-2411 (TTY 711) or consult the online pharmacy directory at www.takecarerxplus.com.
Do you have questions or concerns about your coverage? Contact us to see if we can help. Still have concerns? Request coverage, file an appeal or make a complaint. To send a complaint to Medicare, complete the Medicare Electronic Complaint form.