As a participant of Elderplan FIDA Total Care (Medicare- Medicaid Plan),

we invite you to attend a Town Hall Meeting to share your opinions about our new plan and ways we can improve quality and value.

Tuesday, March 28, 2017

11:00 a.m.—1:00 p.m. Elderplan/HomeFirst
(6405 Seventh Avenue, Lower Level, Brooklyn NY, 11220)

RSVP by calling Participant Services at 1-855-462-3167, 711 for TTY/TDD between 8:00 a.m. and 8:00 p.m., 7 days a week. Please let us know if you need help with transportation. If you are unable to participate in person, you have the option to join the meeting by phone. To do so, please dial the toll free number at 1-866-265-7204. When prompted, enter in the conference code 1069473 followed by the pound (#) sign.

RSVP online by filling out the form below.

Your Full Name

Participant ID Number

Your Telephone Number

Your Email Address

Street Address

City

Zip Code

How long have you been enrolled in a Medicaid or Medicare plan?

Less than 1 year1-2 years3-5 yearsMore than 5 yearsMore than 10 years

What is your race/ethnicity? (Optional)

American Indian / Alaskan NativeAsian / Pacific IslanderBlackHispanicWhiteOther

If you selected 'Other', please describe:

Please let us know if you need the following:

TransportationInterpretation ServicesOther Special Accomodations

If you selected 'Other', please describe:

We hope to see you at the Town Hall meeting. Thank you.