Signature & Disclaimers
Please review our disclaimers and sign below.
Anti-Discrimination Statement
Elderplan is an HMO plan with Medicare and Medicaid contracts. Enrollment in Elderplan depends on contract renewal. Elderplan, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATTENTION: If you speak a non-English language or require interpretation assistance, language assistance services and appropriate auxiliary aids are available to you free of charge. If you need these services or have questions about our plan, call 1-800-353-3765 (TTY: 711). Elderplan, Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si usted habla en un idioma que no es inglés o requiere asistencia de interpretación, tiene a su disposición servicios de asistencia lingüística y las ayudas auxiliares adecuadas de forma gratuita. Si necesita estos servicios o tiene preguntas sobre nuestro plan, llame al 1-800-353-3765 (TTY: 711). Elderplan, Inc. 遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障情況或性別而歧視任何人。請注意:如果您說英語以外的語言或需要口譯協助,我們將免費為您提供語言協助服務和適當的輔助工具。如果您需要這些服務或對我們的計劃有疑問,請致電 1-800-353-3765 (TTY: 711)。
Disclaimers
Elderplan is a HIPAA Covered Entity and as such will not share your personal information to any third parties for commercial or non-healthcare related purposes. However, by participating in this program you may choose to share personal information with other members at your discretion. Elderplan has no control over the use and misuse of information shared by you with other members. Elderplan strongly recommends that members do not post, or share private information received from other members on social media platforms.
For example, if you request pharmacy pick up, Elderplan may share the names of your medication with the volunteer who will help with your pharmacy pickup service.
Also, if you participate in this program, you may choose to share personal information with other Elderplan members at your discretion. Elderplan has no control over the use or misuse of information shared by you with other members. Elderplan also strongly recommends that members do not post or share private information received from other members on social media platforms.
Elderplan recommends that you check with your doctor before beginning any new physical activities.
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