Marketplace Premium Payment 877-367-3976
Individual & Group Coverage: (800) 400-PCHP
TTY: 711
2020 Plan Materials - Administered by UnitedHealthcare
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
2020 Member Experience Materials - Administered by UnitedHealthcare
Pharmacy Directory For a web search click Here
Formulary "Drug List" For a web search click Here
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.
H1659_Web2019_C
Last Updated 10/01/2019
Important Notice Regarding UnitedHealthcare
Piedmont Medicare Advantage plans are now owned by UnitedHealthcare. They will be administered by Piedmont Community Healthcare until December 31, 2019.
Piedmont member benefits, provider network, pharmacy network and policies will remain the same through the end of the calendar year. Members should continue using their Piedmont insurance card and may call our Customer Service and Medical Management teams for assistance during this transition. Please call 1-877-210-1719 (TTY: 711).
Starting January 1, 2020, plans will still carry the Piedmont name, but will be administered by UnitedHealthcare.
Members who wish to keep their plan do not need to do anything and will automatically be enrolled in the same plan for 2020.
Piedmont's Medicare Advantage Plans offer:
- Low premium options, including a $0 premium option for 2020
- For 2020, $0 copay for primary care visits
- Access to a large network of local doctors and hospitals
- Prescription drug coverage included in your plan
- In-network specialist visits without referrals
- Option to use out-of-network providers who participate with Medicare
- Worldwide coverage for emergency care
- Comprehensive formulary with a wide selection of participating pharmacies
- Low maximum out-of-pocket costs
- Benefits of Original Medicare with lower cost-sharing
- Zero cost-sharing for preventive care
- Vision coverage
Eligibility
To be eligible to join Piedmont Medicare Advantage, you must:
- Be entitled to Medicare Part A
- Be enrolled in Medicare Part B
- Live in our service area (service area is Amherst, Appomattox, Bedford*, Campbell, Charlotte, Danville City, Halifax, Lynchburg City, Pittsylvania, and Prince Edward)
- Not have End Stage Renal Disease (ESRD). There are limited exceptions, such as if you develop ESRD when you are already a member of a plan that we offer, or you were a member of a different plan that was terminated.
*denotes partial county (specifically zip codes 24095, 24104, 24121, 24122, 24174, 24502, 24503, 24523, 24526, 24536, 24550, 24551, 24556, 24570, and 24571).
For more information on what Piedmont Medicare Advantage has to offer please call Customer Service between 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, Customer Service is available from 8:00 a.m. to 8:00 p.m., Monday through Friday.
Customer Service local number: (434) 947-3671
Customer Service toll-free number: (877) 210-1719
TTY users should call 711
Our local office is open for walk-in customer assistance from 8:30 a.m. to 5:00 p.m., Monday - Friday, except for holidays.
Piedmont Medicare Advantage
2316 Atherholt Road
Lynchburg, VA 24501
Piedmont Medicare Advantage is a PPO plan with a Medicare contract. Enrollment in Piedmont Medicare Advantage depends on contract renewal. This information is not a complete description of benefits. Call 434-947-3671 or toll-free 1-877-210-1719 (TTY - 711) for more information. 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. Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries. © 2018 Tivity Health, Inc. All rights reserved.
Language Assistance / Nondiscrimination Notice
Español 한국어 Tiếng Việt 繁體中文 العربية Tagalog فارسی አማርኛ اُردُو Français Русский हिंदी Deutsch বাংলা Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀ Igbo asusu èdè Yorùbá
H1659_Web2019Dis_M
Last Updated 11/06/2018
Search Our Providers
If you already know the provider you are looking for, the above provider search link identifies physicians, pharmacies, hospitals and other healthcare professionals and service providers currently participating in the Piedmont network. If you need to choose a Piedmont participating provider, then please see the below "pulldown menu" and select the appropriate category and then you will be taken to a page see a complete list of your selected category.
As a member of Piedmont Community Health Plan or Piedmont Community HealthCare, you will receive the highest level of benefits at the lowest out-of-pocket expense to you when you use a member of the Piedmont Provider Network. This network contains 98% of all physicians and other healthcare providers in the region.
As a Piedmont member you have emergency and urgent care coverage 24 hours a day, 7 days a week - regardless of where you may be. You do not have to use a participating facility in an emergency situation, although it does help to lower the costs.
In addition to these local area providers, Piedmont also maintains relations with other out-of-area networks to ensure you coverage wherever and whenever you travel. Also for employees and college students who may be temporarily living out of our immediate service are. Some of these networks include:
Piedmont Community Health Plan verifies the information in its provider directories through its credentialing process and quarterly outreach to providers. This online provider information is subject to change as network participants change their participation status. You should always ask the physician or other healthcare providers each time you request health services whether they participate with Piedmont Community Health Plan's network. Or, please call Piedmont Community Health Plan at 434-947-3590 or 800-400-7247 to check a provider's status.
There is no form with this name or may be the form is unpublished, Please check the form and the url and the form management.
H1659_Web2019_C
Last Updated 09/27/2018
Webpage Under Construction
Search Our Providers
If you already know the provider you are looking for, the above provider search link identifies physicians, pharmacies, hospitals and other healthcare professionals and service providers currently participating in the Piedmont network. If you need to choose a Piedmont participating provider, then please see the below "pulldown menu" and select the appropriate category and then you will be taken to a page see a complete list of your selected category.
As a member of Piedmont Community Health Plan or Piedmont Community HealthCare, you will receive the highest level of benefits at the lowest out-of-pocket expense to you when you use a member of the Piedmont Provider Network. This network contains 98% of all physicians and other healthcare providers in the region.
As a Piedmont member you have emergency and urgent care coverage 24 hours a day, 7 days a week - regardless of where you may be. You do not have to use a participating facility in an emergency situation, although it does help to lower the costs.
In addition to these local area providers, Piedmont also maintains relations with other out-of-area networks to ensure you coverage wherever and whenever you travel. Also for employees and college students who may be temporarily living out of our immediate service are. Some of these networks include:
This online provider information is subject to change as network participants change their participation status. You should always ask the physician or other healthcare providers each time you request health services whether they participate with Piedmont Community Health Plan's network. Or, please call Piedmont Community Health Plan at 434-947-3590 or 800-400-7247 to check a provider's status.
H1659_Web2017 <pending approval>
Last Updated 10/18/2016