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Helpful Resources

 

Members may Request More Information on The Health Plan/THP SecureCare, SecureChoice, or SecureFreedom programs.

• Direct Claim Form (42k)
• ACH Letter & Contract (Ohio Valley & Mountaineer Region) (105k)
  This contract will allow you to pay your Health Plan/THP bill automatically each month with the Automated Payment Program. Deductions on your health care premium will be on the 4th of each month.
• ACH Letter & Contract (HomeTown Region) (105k)
  This contract will allow you to pay your Health Plan/THP bill automatically each month with the Automated Payment Program. Deductions on your health care premium will be on the 5th of each month.
• Working Aged Survey (142k)
  Required form by the Centers for Medicare and Medicaid Services.

Member Rights & Responsibilities

• SecureCare (96k)
• SecureChoice (96k)
• SecureFreedom (96k)

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SecureCare & SecureChoice Evidence of Coverage & Summary of Benefits

Offered to the residents of the following:

OHIO COUNTIES in the Ohio Valley Region: Belmont, Guernsey, Harrison, Jefferson, Noble, Monroe, Muskingum, and Washington counties.

WEST VIRGINIA COUNTIES in the Ohio Valley Region: Brooke, Hancock, Marshall, Ohio, Tyler, and Wetzel counties.

WEST VIRGINIA COUNTIES in the Mountaineer Region: Barbour, Calhoun, Doddridge, Gilmer, Harrison (WV), Lewis, Marion, Monongalia, Pleasants, Preston, Randolph, Ritchie, Taylor, Tucker, Upshur, Webster, Wirt and Wood counties.

Evidence of Coverage

• SecureCare with Part D (597k)
• SecureCare without Part D (715k)
• SecureChoice with Part D (852k)
• SecureChoice without Part D (747k)

Summary of Benefits

• SecureCare (740k)
• SecureChoice (953k)

SecureCare & SecureChoice Evidence of Coverage & Summary of Benefits

Offered to the residents of the following:

OHIO COUNTIES in the HomeTown Region: Ashland, Carroll, Columbiana, Coshocton, Holmes, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas, and Wayne counties.

Evidence of Coverage

• SecureCare with Part D (1MB)
• SecureCare without Part D (986k)
• SecureChoice with Part D (663k)
• SecureChoice without Part D (587k)

Summary of Benefits

• SecureCare (740k)
• SecureChoice (953k)

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SecureCare and SecureChoice Directories

Listed are printed directories we currently have available online for you to download and print at your convenience. In addition to these directories, which are somewhat large, we have a provider look-up feature to facilitate searching for providers by specialty and location.

• Access the Provider Search

*Provider lists below are printed by Region. To determine which regional list is appropriate, review our reference map. *

If you reside or are looking for providers in any of the regions highlighted in grey -- please contact Customer Service Ohio Valley or Mountaineer Region at 740.695.7902/1.888.847.7902 and HomeTown Region at 330.837.6880/1.800.426.9013.

SecureCare

(updated 04/09)

• Ohio Valley Region (422k)
• Mountaineer Region (430k)
• Hometown Region (897k)

SecureCare Vision Service Provider (VSP) Directories

(updated 03/09)

• Ohio Valley Region (78k)
• Mountaineer Region (60k)
• Hometown Region (92k)

SecureChoice

(updated 04/09)

• Ohio Valley Region (455k)
• Mountaineer Region (433k)
• Hometown Region (935k)

SecureChoice Vision Service Provider (VSP) Directories

(updated 03/09)

• Ohio Valley Region (108k)
• Mountaineer Region (60k)
• Hometown Region (99k)

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SecureFreedom Evidence of Coverage (EOC) & Summary of Benefits (SOB)

• SecureFreedom EOC with Part D (839k)
• SecureFreedom EOC without Part D (734k)
• SecureFreedom SOB (744k)
• SecureFreedom Beneficiary Q & A (48k)
  View questions and answers for beneficaries.

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SecureFreedom Provider Resources

• Provider Terms & Conditions (27k)
• Provider Reimbursement Grid (44k)
• Provider Q & A (26k)
  View questions and answers for providers.

 

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