Easy Choice Health Plan of New York is the marketing name for Atlantis Health Plan, Inc. Atlantis Health Plan, Inc. is a Coordinated Care plan with a Medicare Advantage contract. Beneficiaries must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances, and quantity limitations and restrictions may apply. Individuals must have both Part A and Part B to enroll. You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers neither Medicare nor Easy Choice Health Plan of New York will be responsible for the costs. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance] may change on January 1, 2013. You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:  1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or Your State Medicaid Office. People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048. Members may enroll in the plan only during specific times of the year. Contact Easy Choice Health Plan of New York for more information. This information is available for free in other languages. Please contact our customer service number at 1-888-300-9320 for additional information. Information provided to us will be used solely for purposes of enrollment or any HIPAA authorized transactions. The Health Plan requires its associates to follow its privacy and security policies and procedures to protect your health information in oral, written or electronic form. We understand that medical/billing information about you and your health is personal and confidential. We are committed to protecting this information about you. We create enrollment records and may create other records of the care and services you receive at Easy Choice Health Plan of New York. We need these records to provide you with quality care and to comply with certain legal requirements. We are required by law to protect your personal medical records and other private health information records by keeping it private and following certain rules that dictate whether and when we can use or disclose your information. You must continue to pay your Medicare Part B premium.