800-958-1129 (TTY: 711)
We are open M-F 8:00 a.m. – 8:00 p.m. PT. Between 10/1 and 3/31, we are open 7 days a week, except for the major year-end holidays. You can enroll beginning 10/15/2025.
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Best Available Evidence
Best Available Evidence (BAE):
If you think you are eligible for Medicare’s Extra Help and that you are not paying the correct monthly premium or costs for your drugs, you or your appointed representative may be able to correct your Medicare records by providing us with information, known as Best Available Evidence (BAE), about your eligibility for Extra Help.
When we receive and verify your BAE, we will share it with Medicare and also update our records within 3 business days. You will also need to provide the information to a network pharmacy when you obtain prescriptions so that we can charge you the appropriate cost-sharing amount until Medicare updates its records to reflect your current status.
Acceptable examples of BAE documents include copies of the following.
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Your state Medicaid card
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Your extra help Social Security award letter
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Supplemental Security Income (SSI) Notice of Award with an effective date
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a state document that confirms your active Medicaid status other official state documentation showing your Medicaid status
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A Home and Community-Based Services (HCBS) Notice that includes your name and HCBS eligibility date
For members who are institutionalized or in a long-term care facility, an appointed representative can provide a copy of the following BAE examples:
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A remittance from the facility showing Medicaid payment for a full calendar month with that individual’s name on the statement
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A copy of a state document that confirms Medicaid payment to the facility for a full calendar month on behalf of the individual
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A screen printout from the state’s Medicaid information system showing that individual’s institutional status based on at least a full calendar month stay for Medicaid payment purposes
You or your appointed representative can mail a copy of your BAE document with your medical or health record number to:
Elite Health Plan
Attn: Best Available Evidence
PO Box 1439
Orange, CA 92856
Or you may fax it to 800-958-1129. For more information on Low Income Subsidy and Best Available Evidence (BAE) policy, visit cms.gov or https://www.cms.gov/medicare/coverage/prescription-drug-coverage-contracting/best-available-evidence-bae
NOTE: 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, co-payments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.