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  • H5991_WebsiteUpdate19_M _FileandUse_10/06/2018

  • Affinity Health Plan is an HMO and HMO-SNP Plan with a Medicare contract and a contract with the New York State Medicaid Managed Care Program. Enrollment in Affinity Health Plan 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 copayments/co-insurance and restrictions may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Premiums, Part D co-pays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Affinity Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 877.234.4499 (TTY: 711). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 877.234.4499 (TTY: 711) 。