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Customer Service: (877) 210-1719
TTY users should call 711

For 2020 Piedmont Plans Through UnitedHealthcare  Click Here

To enroll or make a plan change for 2020, please call 434-947-3671 or toll-free 877-210-1719. TTY users should call 711

Hours of operations are 8:00 a.m. to 8:00 p.m., seven days a week from October 1 through March 31. From April 1 through September 30, hours are 8:00 a.m. to 8:00 p.m.

2020 Plan Materials

2020 Plan Materials - Administered by UnitedHealthcare

Nondiscrimination Notice

Piedmont Select Medicare Option One Annual Notice of Changes

Piedmont Select Medicare Option One Evidence of Coverage

Piedmont Select Medicare Option Two Annual Notice of Changes

Piedmont Select Medicare Option Two Evidence of Coverage

Piedmont Select Medicare Option Three Annual Notice of Changes

Piedmont Select Medicare Option Three Evidence of Coverage

Individual Enrollment form Option 1

Individual Enrollment form Option 2

Individual Enrollment form Option 3

Star Ratings

LIS Premium Summary Chart

Enrollment Guide - Option 1

Enrollment Guide - Option 2

Enrollment Guide - Option 3

2020 Member Experience Materials - Administered by UnitedHealthcare

Provider Directory

Pharmacy Directory For a web search click Here

Formulary "Drug List"  For a web search click Here

Transition Fill Policy 

Step Therapy Criteria

Prior Authorization Part D

Part D Coverage Determination Request Form (includes Exception Request form for physicians and enrollees)

Form to appoint a representative for your account

Summary of Benefits and Pre-Enrollment Checklist Option 1

Summary of Benefits and Pre-Enrollment Checklist Option 2

Summary of Benefits and Pre-Enrollment Checklist Option 3

 

Piedmont Medicare Advantage is a PPO plan with a Medicare contract.  Enrollment in Piedmont Medicare Advantage depends on contract renewal. Out-of-network/non-contracted providers are under no obligation to treat Piedmont Medicare Advantage members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

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Last Updated 10/01/2019