The Accountable Care Coalition of Chesapeake Voluntary Alignment period for 2017 has not started.
Medicare beneficiaries may have received a Voluntary Alignment letter and Confirmation of Main Doctor form because their doctor thinks that they might benefit from care coordination and preventive services offered by the Accountable Care Coalition of Chesapeake. The Confirmation of Main Doctor form must be returned by September 15, 2017. If the information on the beneficiary’s form is incorrect, they can request a new form from their doctor or by contacting the Accountable Care Coalition of Chesapeake at 1-866-678-5235.
Beneficiaries should use the form to confirm the main doctor they see or the main place they go for routine care, to help determine if the Accountable Care Coalition of Chesapeake should help coordinate their care. Routine care can include regular care and check-ups received from a doctor and care for other chronic health problems, such as asthma, diabetes, and hypertension.
The beneficiary’s benefits will NOT change, and they can visit any doctor or hospital.
Whether or not beneficiaries complete this form, they remain eligible to receive the same Medicare benefits and they still have the right to use any doctor or hospital that accepts Medicare, at any time. If you have questions, feel free to ask your doctor, call the Accountable Care Coalition of Chesapeake at 1-866-678-5235, or call Medicare at 1-800-MEDICARE (1-800-633-4227) to ask about ACOs. TTY users should call 1-877-486-2048.
If beneficiaries choose to complete this form they should complete it themselves. No one else should complete it for them. If a beneficiary has an appointed representative, please contact the Accountable Care Coalition of Chesapeake to receive a different form. No one is allowed to attempt to influence the beneficiary’s choice to complete this form by offering or withholding anything in exchange for the beneficiary to complete or not complete the form. If the beneficiary feels pressured to sign or not sign this form, they should contact 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
If beneficiaries change their mind later about who they consider to be the main doctor they see or the main place they go for routine care, they should call 1-866-678-5235 by September 15, 2017