Eligibility & Enrollment

Longevity Health Plan
PO Box 5850
Glen Allen, VA 23058-5850


Adobe Reader







	Notices & Disclaimers
			











Longevity Health Plan of Illinois, Inc. is an HMO I-SNP with a Medicare contract. Enrollment in Longevity Health Plan of Illinois, Inc. depends on contract renewal. Longevity Health Plan of Illinois, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Longevity Health Plan of New York, Inc. is an HMO I-SNP with a Medicare contract. Enrollment in Longevity Health Plan of New York, Inc. depends on contract renewal. Longevity Health Plan of New York, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Longevity Health Plan of Florida, Inc. is an HMO I-SNP with a Medicare contract. Enrollment in Longevity Health Plan of Florida, Inc. depends on contract renewal. Longevity Health Plan of Florida, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Longevity Health Plan of Oklahoma, Inc. is an HMO I-SNP with a Medicare contract. Enrollment in Longevity Health Plan of Oklahoma, Inc. depends on contract renewal. Longevity Health Plan of Oklahoma, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Longevity Health Plan of New Jersey Insurance Comp is a PPO I-SNP with a Medicare contract. Enrollment in Longevity Health Plan of New Jersey Insurance Comp depends on contract renewal. Longevity Health Plan of New Jersey Insurance Comp complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.




		








	
	CMS ID Number: H9590_Website, H8457_Website, H9095_Website, H9942_Website, H1644_Website, H5374_Website, H0363_Website, H7557_Website   |   

	Last Updated On: October 1st, 2020 at 2:02 am


		
				
			
				
				
					
											
						© Longevity Health Plan 2019 All rights reserved. Privacy Policy


	
		
	



	

				

				

		

				
			2021 Enrollment Documents

Illinois

Pre-Enrollment Checklist IL
Summary of Benefits IL
Multi-Language Insert IL
Notice of Non-Discrimination

New York

Pre-Enrollment Checklist NY
Summary of Benefits NY
Multi-Language Insert NY
Notice of Non-Discrimination

Oklahoma

Pre-Enrollment Checklist OK
Summary of Benefits OK
Multi-Language Insert OK
Notice of Non-Discrimination

Florida

Pre-Enrollment Checklist FL
Summary of Benefits FL
Multi-Language Insert FL
Notice of Non-Discrimination

New Jersey

Pre-Enrollment Checklist NJ
Summary of Benefits NJ
Multi-Language Insert NJ
Notice of Non-Discrimination


		


				

				            
		
	




	

				

				            
				Medicare Complaint Form			
		

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				            
				Best Available Evidence			
		

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			
Illinois Interactive Provider Directory 
New York Interactive Provider Directory 
Oklahoma Interactive Provider Directory 
Florida Interactive Provider Directory 
New Jersey Interactive Provider Directory 

		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			
Illinois Pharmacy Directory, or see Spanish Version
New York Pharmacy Directory, or see Spanish Version
Oklahoma Pharmacy Directory
New Jersey Pharmacy Directory, or see Spanish Version
New Florida Pharmacy Directory, or see Spanish Version

		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	




	

				

				

		

				
			You are leaving a Medicare product website and going to a non-Medicare website.

Continue
		


				

				            
		
	



		
		

		




    
    
                
            
                
                    
                         There is no higher priority than the safety of our members and employees. For more information about how we are preparing for the COVID-19 coronavirus click here.                    
                    
                                            
                
            
        
    




            
            






























 
	
		
			

			
				START TYPING AND PRESS ENTER TO SEARCH