2008 ANNUAL NOTICE OF CHANGE
Gundersen Lutheran Health Plan
Senior Preferred Value
Annual Enrollment Period: November 15th to December 31st each year
During this Annual Enrollment Period, you have the opportunity to switch plans. Take the
opportunity to compare the benefits, costs, and restrictions of the plans available in your area
and choose the plan that is best for you. If you are satisfied with your current plan, you do not
need to take any action.
Dear (Member Name):
This is the time of year when we like to thank you for your membership in Senior Preferred
Value and inform you of new plan changes for the upcoming year. Beginning January 1, 2008,
there will be some changes to the Senior Preferred Value plan.
Gundersen Lutheran Senior Preferred Value
The following are described in this letter:
• How will my monthly premium change for 2008?
• How will my benefits and cost-sharing change for 2008?
• What if I don’t have drug coverage that is at least as good as Medicare’s standard
prescription drug coverage?
• When can I switch from one Medicare plan to another?
• Where can I get more information?
How will my monthly premium change for 2008?
Senior Preferred Value does have a monthly plan premium. Starting January 1, 2008, the
monthly premium that you pay to Gundersen Lutheran Health Plan will decrease from $27.00
How will my benefits and cost-sharing change for 2008?
The following changes will occur in your coverage.
• Travel related to transplant services: The Medical Management staff will assist with
arrangements for transportation and lodging during the prior authorization process.
Gundersen Lutheran Health Plan has plan providers of referral status to offer a normal
pattern of care for transplant services. Transportation and lodging expenses will be
reimbursed for you and your companion if you need to be referred outside of the normal
community pattern of care. Coverage will also be considered during the post transplant