For CMS Model Electronic Complaint Form please click here. (You will be redirected to this site.)

Click here for "The Medicare Beneficiary Ombudsman". (You will be redirected to this site.)

Last Updated: 10/1/2012

• Easy Choice Health Plan of New York is a marketing name for Atlantis Health Plan, Inc. Atlantis Health Plan, Inc. is a health plan with a Medicare contract.
• You must continue to pay your Medicare Part B premium.
• The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.  Limitations, copayments, and restrictions may apply.  Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1 of each year.
• Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
• Our Chronic Care Special Needs Plans are only available to persons who have certain chronic conditions.  You must have one of these conditions:  cardiovascular disorders, congestive heart failure, diabetes mellitus or chronic lung disorders.  Your doctor must verify your diagnosis within 60 days of enrollment.  
• This information is available for free in Spanish. Please contact our Member Service number at 1-888-300-9320 for additional information; our hours of operation are October 1 to February 14 from 8 a.m. to 8 p.m. 7 days a week and
• February 15 to September 30, 2013 from 8 a.m. to 8 p.m. Monday through Friday.  TTY/TDD users should call 1-800-662-1220.
• Esta información está disponible gratuitamente en otros idiomas. Póngase en contacto con nuestro número de servicio al cliente al 1 888 300-9320 para obtener información adicional; nuestras horas de operación son el lunes al viernes de 8:00 a 20:00 del 15 de febrero al 30 de septiembre; 7 días a la semana de 8:00 a 20:00 del 1 de octubre al 14 de febrero.  Usuarios de TTY/TDD deben llamar al 1 800 662-1220.
• Plan performance Star Ratings are assessed each year and may change from one year to the next. You may visit www.medicare.gov for more information on Plan Ratings.
• Medicare beneficiaries may also enroll in Easy Choice through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

Toll Free: 1-888-300-9320
October 1, 2012 to February 14, 2013 from 8 a.m. to 8 p.m. 7 days a week
February 15, 2013 to September 30, 2013 from 8 a.m. to 8 p.m. Monday through Friday
TTY/TDD: 1-800-662-1220

If you are unable to view PDFs, please download Adobe Reader
By clicking on this link, you will be leaving the Easy Choice website.

H9285_2013 Website_CMS_APPROVED