§ adv ate i linois masoni cedi al cent cal asonic • s 57-5927 no postage necessary if mailed in...
TRANSCRIPT
MEMBER APPLICATION: To be a member of Hispanocare, please complete the attached application and mail it with your payment (Check or Money Order) in the enclosed self-addressed stamped envelope (no postage required). PLEASE PRINT: Name: Address: City: State: Zip: Telephone (Home) ( ) Telephone (Work) ( ) E-Mail: Date of Birth: / / ELIGIBLE FAMILY MEMBERS:
PLEASE CHECK ONE: Individual Membership ($25 Annually) Family Membership ($4 0 Annually) Health Insurance? Yes No Name of Insurance Company: ___________________________________________ Please make check or money order payable to: Hispanocare
First and Last Name SEX (M/F)
Date of Birth
Office use only Date: __________________ ID#:_________________________
Exp: _________ Code:___________ Rep Initials:____________
Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 (773) 975-1600
Other Services:
MEMBER APPLICATION: To be a member of Hispanocare, please complete the attached application and mail it with your payment (Check or Money Order) in the enclosed self-addressed stamped envelope (no postage required). PLEASE PRINT:
Name: Address: City: State: Zip: Telephone (Home) ( ) Telephone (Work) ( )
E-Mail: Date of Birth: / / ELIGIBLE FAMILY MEMBERS:
PLEASE CHECK ONE:
Individual Membership ($20 Annually)
Family Membership ($35 Annually)
Health Insurance? Yes No
Name of Insurance Company: ___________________________________________ Please make check or money order payable to: Hispanocare
First and Last Name SEX (M/F)
Date of
First and Last Name SEX (M/F)
Date of
Office use only Date: __________________ ID#:_________________________
Exp: _________ Code:___________ Rep Initials:____________
1. 836 W. Wellington Chicago, Illinois 60657 (773) 975-1600
1.
Other Services
• •
Advocate Illinois Masonic Medical Center (Audiology,
• • • • • • • • The Golden Age (Senior Program with Medicare) 57-7333-EN0 1 / 1 4
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ER
MIT
NO
. 5
73
77
C
HIC
AG
O,
ILLI
NO
IS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APL
IQU
E A
HO
RA
!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
asonic Medical C
enteraffiliated w
ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
A program ofAdvocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
836 W. W
ELLING
TON
AVENU
EC
HIC
AGO
IL 60657-5193
(60
65
75
19
38
)
1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
CH
ICAG
O IL 60657-5193
(60
65
75
19
38
)
Proveedores e Illino asonic Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical Cent
cal
asonic
57-5927NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
La Edad de OroSiendo mayor tiene sus ventajas
Advocate Illinois Masonic Medical Center
773/296-7157
La Edad de Oro
Th
e B
enef
its
of M
embe
rsh
i...
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ER
MIT
NO
. 5
73
77
C
HIC
AG
O,
ILLI
NO
IS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APL
IQU
E A
HO
RA
!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
asonic Medical C
enteraffiliated w
ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
A program ofAdvocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
836 W. W
ELLING
TON
AVENU
EC
HIC
AGO
IL 60657-5193
(60
65
75
19
38
)
rs
1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
CH
ICAG
O IL 60657-5193
(60
65
75
19
38
)
Proveedores e Il no asonic Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical Cent
edical
Masonic
57-5927NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
La Edad de OroSiendo mayor tiene sus ventajas
773/296-7157
La Edad de Oro
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ER
MIT
NO
. 5
73
77
C
HIC
AG
O,
ILLI
NO
IS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APL
IQU
E A
HO
RA
!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
asonic Medical C
enteraffiliated w
ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
Advocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
A
TT
N: H
ISP
AN
OC
AR
E836 W
. WELLIN
GTO
N AVEN
UE
CH
ICAG
O IL 60657-5193
(60
65
75
19
38
)
Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
836 W. W
ELLING
TON
AVENU
EC
HIC
AGO
IL 60657-5193
(60
65
75
19
38
)
Proveedores e Illino ason c Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical Cent
al
asonic
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
La Edad de OroSiendo mayor tiene sus ventajas
Advocate Illinois Masonic Medical Center
773/296-7157
La Edad de Oro
Th
e B
enef
its
of M
embe
rsh
ip...
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ERM
IT N
O.
57
37
7
CH
ICA
GO
, IL
LIN
OIS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APLIQ
UE A
HO
RA
!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
asonic Medical C
enteraffiliated w
ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
A program ofAdvocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ERM
IT NO
. 57
37
7 C
HIC
AG
O, ILLIN
OIS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
836 W. W
ELLING
TON
AVENU
EC
HIC
AGO
IL 60657-5193
(60
65
75
19
38
)
ers
1. Advocate Illinois Masonic Medical Cent er 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
57-5927
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ERM
IT NO
. 57
37
7 C
HIC
AG
O, ILLIN
OIS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
CH
ICAG
O IL 60657-5193
(60
65
75
19
38
)
Proveedores dvocate I no asonic Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical C
ia…
57-5927NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
TheBenefitsofM
embership...
APPLYTODAY!
57-5928-EN
Hispanocare Hospital Provider
STE 159
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ER
MIT
NO
. 5
73
77
C
HIC
AG
O,
ILLI
NO
IS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APL
IQU
E A
HO
RA
!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
asonic Medical C
enteraffiliated w
ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
A program ofAdvocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
836 W. W
ELLING
TON
AVENU
EC
HIC
AGO
IL 60657-5193
(60
65
75
19
38
)
1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
CH
ICAG
O IL 60657-5193
(60
65
75
19
38
)
Proveedores e Illino asonic Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical Cent
asonic
:
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
La Edad de OroSiendo mayor tiene sus ventajas
Advocate Illinois Masonic Medical Center
773/296-7157
La Edad de Oro
Th
e B
enef
its
of M
embe
rsh
i...
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ER
MIT
NO
. 5
73
77
C
HIC
AG
O,
ILLI
NO
IS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APL
IQU
E A
HO
RA
!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
asonic Medical C
enteraffiliated w
ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
A program ofAdvocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
836 W. W
ELLING
TON
AVENU
EC
HIC
AGO
IL 60657-5193
(60
65
75
19
38
)
rs
1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
CH
ICAG
O IL 60657-5193
(60
65
75
19
38
)
Proveedores e Il no asonic Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical Cent
al
asonic
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
La Edad de OroSiendo mayor tiene sus ventajas
773/296-7157
La Edad de Oro
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ER
MIT
NO
. 5
73
77
C
HIC
AG
O,
ILLI
NO
IS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APL
IQU
E A
HO
RA
!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
asonic Medical C
enteraffiliated w
ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
Advocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
A
TT
N: H
ISP
AN
OC
AR
E836 W
. WELLIN
GTO
N AVEN
UE
CH
ICAG
O IL 60657-5193
(60
65
75
19
38
)
Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
NO
PO
STAG
E N
ECESSA
RY
IF MA
ILED
IN TH
E U
NITED
STATES
BU
SIN
ESS R
EPLY
MA
IL FIR
ST C
LAS
S M
AIL P
ER
MIT N
O. 5
73
77
CH
ICA
GO
, ILLINO
IS
POSTAG
E WILL BE PAID
BY ADD
RESSEE
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
836 W. W
ELLING
TON
AVENU
EC
HIC
AGO
IL 60657-5193
(60
65
75
19
38
)
Proveedores e Illino ason c Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical Cent
asonic
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
La Edad de OroSiendo mayor tiene sus ventajas
Advocate Illinois Masonic Medical Center
773/296-7157
La Edad de Oro
Th
e B
enef
its
of M
embe
rsh
ip...
57-5927
NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
57-5927
NO
PO
STA
GE
NEC
ESSA
RY
IF M
AIL
ED
IN T
HE
UN
ITED
STA
TES
B
US
INES
S R
EPLY
MA
IL
FIR
ST
CLA
SS
MA
IL
P
ERM
IT N
O.
57
37
7
CH
ICA
GO
, IL
LIN
OIS
POST
AGE
WIL
L BE
PAI
D B
Y AD
DR
ESSE
E
AD
VO
CA
TE
ILL
INO
IS M
AS
ON
IC M
ED
ICA
L C
EN
TE
R
AT
TN
: H
ISP
AN
OC
AR
E83
6 W
. WEL
LIN
GTO
N A
VEN
UE
CH
ICAG
O IL
606
57-5
193
(60
65
75
19
38
)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital 701W.North Avenue Melrose Park, Illinois 60160 708-681-3200 Otros Servicios § Advocate Illinois Masonic Medical Center
(audiologia, lenguaje e ingestion) § Centro del Ojo (Advocate Illinois Masonic Medical
Center) § Programa de Descuento (Recetas Medicas) § Centro del Ojo (Gottlieb Memorial Hospital) § Centro de Cancer Creticos (Advocate Illinois Masonic
Medical Center) § Laboratorio Ortésico y Protésico MD § Imágenes por Resonancia Magnética §
Pearle
Vision
Los Beneficios de Membresia…
¡APLIQUE HOY! ¡APLIQ
UE A
HO
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!L
os Ben
eficios de Mem
bresía...
La Edad de O
roS
iendo mayor tiene sus ventajas
A program of
Advocate Illinois M
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ith Gottlieb M
emorial H
ospital
773/296-7157
La Edad de O
ro
The Golden AgeGetting older has its advantages
A program ofAdvocate Illinois Masonic Medical Center
773/296-7157
The Golden Age
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1. Advocate Illinois Masonic Medical Cent er 836 W. Wellington Chicago, Illinois 60657 773-975-1600
Other Services
¡APPLY TODAY!
57-5927
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Proveedores dvocate I no asonic Medical Center
836 W. Wellington Chicago, Illinois 60657 773-975-1600
2. Gottlieb Memorial Hospital Otros Servicios
§ Advocate Illinois Masonic Medical C
ia…
57-5927NO POSTAGE NECESSARY IF MAILED
IN THE UNITED STATES
BUSINESS REPLY MAIL FIRST CLASS MAIL PERMIT NO. 57377 CHICAGO, ILLINOIS
POSTAGE WILL BE PAID BY ADDRESSEE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ATTN: HISPANOCARE836 W. WELLINGTON AVENUECHICAGO IL 60657-5193
(6065751938)
(773) 296-7157
Proveedores 1. Advocate Illinois Masonic Medical Center 836 W
. Wellington
Chicago, Illinois 60657
773-975-1600 2. Gottlieb Mem
orial Hospital 701W
.North Avenue
Melrose Park, Illinois 60160
708-681-3200 Otros Servicios
§ Advocate Illinois M
asonic Medical C
enter (audiologia, lenguaje e ingestion)
§ C
entro del Ojo (Advocate Illinois M
asonic Medical
Center)
§ Program
a de Descuento (R
ecetas Medicas)
§ C
entro del Ojo (G
ottlieb Mem
orial Hospital)
§ C
entro de Cancer C
reticos (Advocate Illinois Masonic
Medical C
enter) §
Laboratorio Ortésico y Protésico M
D
§ Im
ágenes por Resonancia M
agnética §
Pearle Vision
Los B
eneficios de M
embresia…
¡AP
LIQ
UE
HO
Y!
¡APLIQUE AHORA!Los Beneficios de Membresía...
TheBenefitsofM
embership...
APPLYTODAY!
57-5928-EN
Hispanocare Hospital Provider
STE 159
Hospital Provider:
• Advocate Illinois Masonic Eye Center • Advocate Illinois Masonic Medical Center
(Audiology, Speech and Swallowing) • Advocate Illinois Masonic Medical Center
(Creticos Cancer Center) • Advocate Illinois Masonic Medical Center
(Neuroscience Institute) • Advocate Illinois Masonic Medical Center
(Heart and Vascular Institute) • Prescription Discount Program • MD Orthotic & Prosthetic Laboratory • Open MRI of Chicago (MRI Imaging) • Pearle Vision (Eye care, Lenses and Frames) • The Golden Age (Senior Program 65+ with Medicare)
01/14
Welcome to Hispanocare! You may not realize it, but good health could be your most valuable possession. That’s why there’s Hispanocare®, a program dedicated to your good health.
What is Hispanocare?
Hispanocare is a network of one hospital and hundreds of highly skilled physicians and specialists located through out the Chicagoland area. Hispanocare affiliated hospital and medical offices have bilingual physicians or professional staff members who can speak to you in Spanish about your health problems and concerns.
How does Hispanocare work? Each time you use a Hispanocare network provider (Hospital or Physician) you receive a 20 percent discount on portions of your medical expenses not covered by your medical insurance.
For example, if you were hospitalized and you have a bill for $11,000, and your insurance covers 80 percent of that bill ($8,800), you are still responsible for paying that remaining $2,200. As a member, you receive a 20 percent discount on the $2,200. You only pay $1,760, a savings of $440. This discount does not apply to any deductibles or co-payments and must be met before any discounts are applied. In addition, to discounts on hospital and doctor bills, members also save money on dental, eye and foot care, chiropractor, prescription drugs, hearing aids, and several other services.
Best of all, as a Hispanocare member, you have access to hundreds of highly skilled physicians and specialists. The Provider Directory provides contact information with names and addresses of all participating providers.
Because we are not an insurance plan, all providers accept any and all pre-existing conditions, have no limitations and have no claim forms to complete.
What else does Hispanocare offer? Hispanocare and its network provider’s coordinate FREE Community health events and screenings. Members are kept up to date on the latest health information through electronic quarterly member newsletter “Por Su Salud” (For Your Health) or by visiting us at www.hispanocare.org.
What if I don’t have insurance? Hispanocare is not an insurance plan, but a program that discounts out-of-pocket medical expenses when you use a participating provider. If you do not have insurance coverage, the Hispanocare membership can save you 20 to 30 percent on your total medical expenses.
What if I’m not sure which doctor to choose? All providers and specialist are either bilingual in both Spanish and English, or have bilingual staff.
What if I’m not Hispanic? Hispanocare is for everyone, regardless of one’s ethnic background. You are welcome to join Hispanocare and begin enjoying membership benefits and savings today!
What about Prescriptions? Our prescription program offers you another way to save on prescription costs. With the Drug Discount Card you can save up to 80% off the price of your prescription medication and it can be used with or without insurance.
The Drug Discount Card is accepted at over 60,000 pharmacies, including major chains such as Wal-Mart, CVS, Walgreen’s, Rite Aid and at regional chains and local stores.
The card can also be used for over-the-counter medications and medical supplies if written on a prescription blank, and pet prescription medicines purchased at a pharmacy.
How do I join Hispanocare? Joining Hispanocare is easy. There is no screening process, no lengthy forms to fill out, and no waiting period.
The annual cost of enrollment is only $20 for an individual and $35 for a family membership. Family membership includes single dependents living at home up to age of 22. Simply fill out the attached short application and return it with your payment. Membership Card and benefits packet will be sent to you as soon as your application is processed. Questions? If you have any questions please call Hispanocare at 773-296-7157 or visit us at: www.hispanocare.org
INSERT FAMILY PICTURE HERE
Welcome to Hispanocare! You may not realize it, but good health could be your most valuable possession. That’s why there’s Hispanocare®, a program dedicated to your good health.
What is Hispanocare?
of highly skilled physicians and specialists located through
and medical offices have bilingual physicians or professional staff members who can speak to you in Spanish about your health problems and concerns.
How does Hispanocare work? Each time you use a Hispanocare network provider (Hospital or Physician) you receive a 20 percent discount on portions of your medical expenses not covered by your medical insurance.
For example, if you were hospitalized and you have a bill for $11,000, and your insurance covers 80 percent of that bill ($8,800), you are still responsible for paying that remaining $2,200. As a member, you receive a 20 percent discount on the $2,200. You only pay $1,760, a savings of $440. This discount does not apply to any deductibles or co-payments and must be met before any discounts are applied. In addition, to discounts on hospital and doctor bills, members also save money on dental, eye and foot care, chiropractor, prescription drugs, hearing aids, and several other services.
Best of all, as a Hispanocare member, you have access to hundreds of highly skilled physicians and specialists. The Provider Directory provides contact information with names and addresses of all participating providers.
Because we are not an insurance plan, all providers accept any and all pre-existing conditions, have no limitations and have no claim forms to complete.
What else does Hispanocare offer? Hispanocare and its network provider’s coordinate FREE Community health events and screenings. Members are kept up to date on the latest health information through electronic quarterly member newsletter “Por Su Salud” (For Your Health) or by visiting us at www.hispanocare.org.
What if I don’t have insurance? Hispanocare is not an insurance plan, but a program that discounts out-of-pocket medical expenses when you use a participating provider. If you do not have insurance coverage, the Hispanocare membership can save you 20 to 30 percent
What if I’m not sure which doctor to choose? All providers and specialist are either bilingual in both Spanish and English, or have bilingual staff.
What if I’m not Hispanic? Hispanocare is for everyone, regardless of one’s ethnic background. You are welcome to join Hispanocare and
What about Prescriptions? Our prescription program offers you another way to save on prescription costs. With the Needy Meds
The Drug Discount Card is accepted at over 60,000 pharmacies, including major chains such as Wal-Mart, CVS, Walgreen’s, Rite Aid and at regional chains and local stores.
The card can also be used for over-the-counter medications and medical supplies if written on a prescription blank, and
How do I join Hispanocare? Joining Hispanocare is easy. There is no screening process,
The annual cost of enrollment is only $25 for an individual and $40 for a family membership. Family membership includes single dependents living at home up to age 26. Simply fill out the attached short application and return it with your payment. Membership card and benefits packet will be sent to you as soon as your application is processed. Questions? If you have any questions please call Hispanocare at 773-296-7157 or visit us at: www.hispanocare.org
INSERT FAMILY PICTURE HERE
on your total medical expenses.
begin enjoying membership benefits and savings today!
pet prescription medicines purchased at a pharmacy.
no lengthy forms to fill out, and no waiting period.
medication and it can be used with or without insurance. Card you can save up to 80% off the price of your prescription
Drug Discount
Welcome to Hispanocare!
You may not realize it, but good health could be your most valuable possession. That’s why there’s Hispanocare®, a program dedicated to your good health.
Q. What is Hispanocare?
A:
skilled physicians and specialists located throughout the Chicagoland area. Hispanocare affiliated hospitals and medical offices have physicians or professional staff members who can speak to you in understand your health problems and concerns. We understand your language and culture and want you to feel
comfortable.
Q. How does Hispanocare work?
A: Each time you use a Hispanocare network provider you receive a 20 percent discount on portions of your medical expenses not covered by your medical insurance.
For example, if you were hospitalized and you have a bill for $11,000, and your insurance covers 80 percent of that bill ($8,800), you are still responsible for paying that remaining $2,200. As a Hispanocare member, you receive a 20 percent discount on $2,200. You only pay $1,760, a savings of $440. The discount does not apply to any deductibles or co-payments, and these must be met before any discounts are applied. In addition to discounts on hospital and doctor bills, Hispanocare members also save money on dental, eye and foot care, chiropractor, prescription drugs, hearing aids, and several other services.
Best of all, as a Hispanocare member, you have access to hundreds of highly skilled physicians and specialists. The Hispanocare Provider Directory provides the names and addresses of all participating
physicians.
Because we are not an insurance plan, all providers accept any and all pre-existing conditions, have no limitations and have no claim forms to complete.
Q. What else does Hispanocare offer?
A. Hispanocare and its network provider’s coordinate free community health events and screenings. Members are kept up-to-date on the latest health information through our quarterly member Newsletter
Por Su Salud (For Your Health).
Q. What if I don’t have insurance? A. Hispanocare is not an insurance plan, but a program that discounts out-of-pocket medical expenses when you use a Hispanocare provider. If you do not have an insurance plan, the Hispanocare membership can save you 20 to 30 percent on your total medical expenses.
Q. What if I’m not Hispanic?
A. Hispanocare is for everyone, regardless of one’s ethnic background. You are welcome to join Hispanocare and begin enjoying membership
benefits and savings today!
Q: What about Prescriptions?
A. Our prescription program offers you another way to save on prescription costs. With the Drug Discount Card you can save up to 80% off the price of your prescription medications
The Drug Discount Card is accepted at over 60,000 pharmacies, including major chains such as Wal-Mart, CVS, Walgreen’s, Rite Aid and at regional chains and local stores.
The card can also be used for over-the-counter medications
pet prescription medicines purchased at a pharmacy.
Q. How do I join Hispanocare?
A: Joining Hispanocare is easy. There is no screening process, no lengthy forms to fill out, and no waiting period.
The annual cost of enrolling in the Hispanocare ogram is only $20
membership in Hispanocare includes single dependents living at home
up to age 22. Simply fill out the attached short application and return it with your payment. Hispanocare will send your membership card as soon as your application is processed.
Questions? If you have any questions please call Hispanocare at 773-296-7157 or visit us at:
www.hispanocare.org
Q. What if not sure which doctor to choose? I’mA. All Hispanocare physicians and specialists are either bilingual in Spanishand English or have a bilingual staff.If you would like help in choosing a physician, we offer the HispanocareReferral Line (773) 296-7157. We ll assist you in selecting the physician ’whose location and office hours are most convenient for you.
Welcome to Hispanocare!
You may not realize it, but good health could be your most valuable possession. That’s why there’s Hispanocare®, a program dedicated to your good health.
Q. What is Hispanocare?
A: Hispanocare is a network of two hospitals and hundreds of highly skilled physicians and specialists located throughout the Chicagoland area. Hispanocare affiliated hospitals and medical offices have physicians or professional staff members who can speak to you in understand your health problems and concerns. We understand your language and culture and want you to feel comfortable.
Q. How does Hispanocare work?
A: Each time you use a Hispanocare network provider you receive a 20 percent discount on portions of your medical expenses not covered by your medical insurance.
For example, if you were hospitalized and you have a bill for $11,000, and your insurance covers 80 percent of that bill ($8,800), you are still responsible for paying that remaining $2,200. As a Hispanocare member, you receive a 20 percent discount on $2,200. You only pay $1,760, a savings of $440. The discount does not apply to any deductibles or co-payments, and these must be met before any discounts are applied. In addition to discounts on hospital and doctor bills, Hispanocare members also save money on dental, eye and foot care, chiropractor, prescription drugs, hearing aids, and several other services.
Best of all, as a Hispanocare member, you have access to hundreds of highly skilled physicians and specialists. The Hispanocare Provider Directory provides the names and addresses of all participating physicians.
Because we are not an insurance plan, all providers accept any and all pre-existing conditions, have no limitations and have no claim forms to complete.
Q. What else does Hispanocare offer?
A. Hispanocare and its network provider’s coordinate free community health events and screenings. Members are kept up-to-date on the latest health information through our quarterly member Newsletter
Por Su Salud (For Your Health).
Q. What if I don’t have insurance? A. Hispanocare is not an insurance plan, but a program that discounts out-of-pocket medical expenses when you use a Hispanocare provider. If you do not have an insurance plan, the Hispanocare membership can save you 20 to 30 percent on your total medical expenses.
Q. What if I’m not Hispanic?
A. Hispanocare is for everyone, regardless of one’Ffs ethnic background. You are welcome to join Hispanocare and begin enjoying membership benefits and savings today!
A. Our prescription program offers you another way to save on prescription costs. With the Drug Discount Card you can save up to 80% off the price of your prescription medications and it can be used with or without insurance.
The Drug Discount Card is accepted at over 60,000 pharmacies,
and at regional chains and local stores. The card can also be used for over-the-counter medications and medical supplies if written on a prescription blank, and
Q. How do I join Hispanocare?
A: Joining Hispanocare is easy. There is no screening process, no lengthy
The annual cost of enrolling in the Hispanocare program is only $20 for an individual and $35 for a family membership. Family membership in Hispanocare includes single dependents living at home
up to age 22. Simply fill out the attached short application and return it with your payment. Hispanocare will send your membership card as soon as your application is processed.
Questions? If you have any questions please call Hispanocare at
www.hispanocare.org
Q. What if not sure which doctor to choose? I’mA. All Hispanocare physicians and specialists are either bilingual in Spanish
and English or have a bilingual staff.If you would like help in choosing a physician, we offer the HispanocareReferral Line (773) 296-7157. We ll assist you in selecting the physician ’whose location and office hours are most convenient for you.
MEMBER APPLICATION: To be a member of Hispanocare, please complete the attached application and mail it with your payment (Check or Money Order) in the enclosed self-addressed stamped envelope (no postage required). PLEASE PRINT: Name: Address: City: State: Zip: Telephone (Home) ( ) Telephone (Work) ( ) E-Mail: Date of Birth: / / ELIGIBLE FAMILY MEMBERS:
PLEASE CHECK ONE:
Individual Membership ($25 Annually) Family Membership ($4 0 Annually) Health Insurance? Yes No
Name of Insurance Company: ___________________________________________ Please make check or money order payable to: Hispanocare
First and Last Name SEX (M/F)
Date of Birth
Office use only Date: __________________ ID#:_________________________
Exp: _________ Code:___________ Rep Initials:____________
Hispanocare Hospital Provider Advocate Illinois Masonic Medical Center 836 W. Wellington Chicago, Illinois 60657 (773) 975-1600
Other Services • Advocate Illinois Masonic Eye Center • Advocate Illinois Masonic Medical Center (Audiology, Speech and Swallowing) • Creticos Cancer Center (Advocate Illinois Masnoic
• Discount Prescription Program • MD Orthotic & Prosthetic Laboratory • Open MRI of Chicago (MRI Imaging) • Pearle Vision • The Golden Age (Senior Program with Medicare)
MEMBER APPLICATION: To be a member of Hispanocare, please complete the attached application and mail it with your payment (Check or Money Order) in the enclosed self-addressed stamped envelope (no postage required). PLEASE PRINT:
Name: Address: City: State: Zip: Telephone (Home) ( ) Telephone (Work) ( )
E-Mail: Date of Birth: / / ELIGIBLE FAMILY MEMBERS:
PLEASE CHECK ONE:
Individual Membership ($20 Annually)
Family Membership ($35 Annually)
Health Insurance? Yes No
Name of Insurance Company: ___________________________________________ Please make check or money order payable to: Hispanocare
First and Last Name SEX (M/F)
Date of
First and Last Name SEX (M/F)
Date of
Office use only Date: __________________ ID#:_________________________
Exp: _________ Code:___________ Rep Initials:____________
Hispanocare Hospital Providers
1. 836 W. Wellington Chicago, Illinois 60657 (773) 975-1600
1.
Other Services
•
Advocate Illinois Masonic Eye Center
•
Advocate Illinois Masonic Medical Center (Audiology, Speech and Swallowing)
•
Creticos Cancer Center
•
Discount Prescription Program
•
Gottlieb Memorial Hospital Eye Center
•
MD Orthotic & Prosthetic Laboratory
•
Open MRI of Chicago (MRI Imaging)
•
Pearle Vision
•
Prescription Discount Program
• The Golden Age (Senior Program with Medicare) 12/13 57-73333-EN
Medical Center) �
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Free