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    Disease Specific Assessment - Members

    2023 2024
    2023
    2023
    • Congestive Heart Failure Assessment Form
    • Cardiovascular Assessment Form
    • COPD Assessment Form
    • Asthma Disease Management Assessment
    • Diabetes Health Assessment Form
    2024
    2024
    • Congestive Heart Failure Assessment Form
    • Cardiovascular Assessment Form
    • COPD Assessment Form
    • Asthma Disease Management Assessment
    • Diabetes Health Assessment Form

    Last updated 10/01/2023

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    CMS Model Electronic Complaint Form
    The Medicare Beneficiary Ombudsman
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    Multi-Language Interpreter Service
    Servicios de interpretación en varios idiomas
    (Multi-Language Insert) | (Inserción de varios idiomas)

    Section 1557 Notice of Non-Discrimination:
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    Hours
    From October 1 to March 31, we are open 7 days a week from 8 a.m. to 8 p.m. EST.

    From April 1 to September 30, we are open Monday through Friday, 8 a.m. to 8 p.m. EST.

    Telephone Phone Freedom Health
    Toll Free 1-800-401-2740
    TTY/TDD: 711

    Mailing Address
    P.O. Box 151137
    ATTN: Freedom Health
    Tampa, FL 33684

    Serving the following areas in Florida:

    • Brevard County
    • Broward County
    • Citrus County
    • Charlotte County
    • Collier County
    • Hernando County
    • Hillsborough County
    • Indian River County
    • Lake County
    • Lee County
    • Marion County
    • Manatee County
    • Martin County
    • Orange County
    • Osceola County
    • Palm Beach County
    • Pasco County
    • Pinellas County
    • Polk County
    • Saint Lucie County
    • Sarasota County
    • Seminole County
    • Sumter County
    • Volusia County

    Freedom Health, Inc. is an HMO with a Medicare contract and a contract with the state of Florida Medicaid program. Enrollment in Freedom Health, Inc. depends on contract renewal. This Information is not a complete description of benefits. Call 1-800-401-2740 (TTY: 711) for more information. Medicare beneficiaries may also enroll in Freedom Health through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. Every year, Medicare evaluates plans based on a 5-star rating system.

    Freedom Health, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Chronic Condition Special Needs Plan (C-SNP) through 2024 and a Dual Special Needs Plan (D-SNP) through 2026 based on a review Freedom Health, Inc.’s Model of Care.

    Freedom Health, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Freedom Health, Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Freedom Health, Inc. konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-401-2740 (TTY: 711). Kreyòl Ayisyen (French Creole): ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-401-2740 (TTY: 711).

    These materials may be made available in alternate formats (e.g., large print, Braille) to individuals with disabilities, upon request.

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