HMO REBATE INSTRUCTIONS
NOTE: Rebates available for produce (vegetable/fruit) shares only
PHYSICIANS PLUS
1.Write “P+ Eat Healthy Rebate” and your birth date on the lines below:
Birth Date:
2. Send a copy of this form, along with proof of payment to:
Physicians Plus Insurance Corporation, Good Health Bonus
PO Box 2078, Madison, WI 53701-2078
3. Send this original form with your payment to:
Lake View Farm, 1423 Lake View Dr, Madison, WI 53705
For more information, visit www.healthychoicesbigrewards.com
GROUP HEALTH COOPERATIVE
1. Complete and print your GHC “Wellness Reimbursement Form”
(online at: https://ghcscw.com/wellness_reimbursement_form.asp)
2. Send a copy of this sign-up form, your GHC reimbursement form and proof of payment to:
GHC-SCW Marketing Dept, Attn. Wellness Reimbursement
PO Box 44971, Madison, WI 53744-4971
3. Send this original form with your payment to:
Lake View Farm, 1423 Lake View Dr, Madison, WI 53705
For more information, visit www.ghcsw.com
DEAN HEALTH PLAN
1. Print and complete your Dean “WIN Reimbursement Form”
(www.deancare.com/healthplan/health_and_wellness/win.asp)
2. Send a copy of this sign-up form, your WIN reimbursement form and proof of payment to:
Dean Health Plan, Attn: WIN
PO Box 56099, Madison, WI 53705-9399
3. Send this original form with your payment to:
Lake View Farm, 1423 Lake View Dr, Madison, WI 53705
For more information, visit www.deancare.com
UNITY
1. Log into “MyUnity” and print out and complete the CSA Reimbursement Coupon.
2. Send the coupon and proof of payment to:
Unity Health Insurance, Attn: Marketing
840 Carolina St, Sauk City, WI 53583
For more information, visit www.unityhealth.com
PROOF OF PAYMENT can be any of the following:
a cancelled check, a farm receipt, a credit card statement showing the charge or email from the farm confirming your payment.
For more information on HMO rebates, visit:
www.macsac.org/rebates.html
VEGGIES WE GROW
Each year’s harvest varies depending on growing conditions, but shares usually include:
EARLY / MID / LATE(JUNE) / (JULY-AUG) / (SEPT-OCT)
Snap Peas / Salad Greens / Kale
Salad Greens / Sweet Corn / Potatoes
Spinach / Tomatoes / Beets
Green Onions / Eggplant / Squash
Scapes / Peppers / Carrots
Radishes / Zucchini / Chard
New Potatoes / Watermelon / Leeks
VISIT US AT THE MARKET!
Dane County Farmers’ Market
Capital Square- Sat 6a-2p (April-Nov)
MLK Blvd - Wed 6a-2p (April-Nov)
Monona Terrace– Sat 8a-12p (Nov-Dec)
Madison Senior Center– Sat 8a-12p (Jan-Mar)
East Side Farmers’ Market
Tues 4p-7p (May-Oct), Willy St Co-op lot
North Side Farmers’ Market
Sun 8:30a-12:30p (May-Oct)
Northside Town Center (Sherman & Northport)
Hilldale Farmers’ Market
Wed & Sat 7a-2p (May-Oct) Hilldale Mall
Middleton Farmers’ Market
Thurs 7a-1:30p (May-Oct), Greenway Station
ON GROCERS’ SHELVES
Look for Lake View Farm eggs and bread at:
Copp’s Food Stores (Madison area)
Metcalfe’s Market Hilldale
Regent Market Co-op
Whole Foods Market (Madison)
Willy St Co-op
CERTIFIED
ORGANIC!
1423 LAKE VIEW DR • MADISON WI 53705
608-213-4567 •
www.lakeviewfarm.com
ABOUT OUR FARM
Perched on the shore of Lake Mendota in Madison, WI, Lake View Farm has been sustaining CSA members with certified-organic produce since 2002. In addition to a wide variety of fruits and veggies, we offer eggs and (new this year!) freshly baked artisan breads.
GROWING PRACTICES
Lake View Farm uses no synthetic pesticides, herbicides or fertilizers, and is certified organic by the Midwest Organic Services Association, (MOSA). To learn about the organic standards we follow, visit www.mosaorganic.org.
MEMBERSHIP PERKS
Weekly newsletter with farm news, storage tips and recipes
Farm events including a Summer Solstice Celebration (late June) and our famous Fall Harvest Festival (mid Oct).
HMO rebates on CSA shares are offered by some insurance providers. See our order form for detailed information on the rebate process.
Recipe listserv allows members to share recipes via email
SHARE OPTIONS
SUMMER/FALL SHARE
Standard: 18 weekly deliveries June-Oct
Half: 9 bi-weekly deliveries June-Oct
A wide variety of produce through the summer and early fall months. Each delivery fills 1-2 grocery bags.
WINTER STORAGE SHARE
2 monthly deliveries Nov-Dec
Each large delivery includes carrots, squash, potatoes and other storage crops.
EGG SHARE
9 bi-weekly deliveries June-Oct
1 dozen fresh, pastured eggs per delivery
NEW! BREAD SHARE
18 weekly deliveries June-Oct
Each week brings a fresh artisan loaf - varieties include whole wheat, Bavarian rye, honey oatmeal and many others.
WORKER SHARE
Work 4 hours per week during the 18 week season in exchange for a standard share. Call or email the farm for more information.
PICK-UP INFO
Share pick-up is Wednesday from 4pm – 7pm.
Madison East Atwood Neighborhood
Madison West At the Farm
Madison North Cherokee Marsh
Middleton Parmenter St
2010 LAKE VIEW FARM SIGN-UP FORM
NAME:
ADDRESS:
PHONE:
EMAIL:
IF SPLITTING A SHARE, LIST ADDITIONAL CONTACT INFO BELOW
NAME:
ADDRESS:
PHONE:
EMAIL:
SHARE OPTIONS
¨ STANDARD SUMMER/FALL $450
¨ HALF SUMMER/FALL $250
¨ WINTER STORAGE $200
¨ EGG SHARE $ 60
¨ BREAD SHARE $ 60
¨ COOKBOOK From Asparagus to Zucchini $ 12
TOTAL: ______
PICK-UP SITE
¨ MADISON EAST Atwood Neighborhood
¨ MADISON WEST At the Farm
¨ MADISON NORTH Cherokee Marsh
¨ MIDDLETON Parmenter St
PAYMENT OPTION
¨ FULL PAYMENT Enclose check for total above
¨ 4 INSTALLMENTS Enclose 4 checks dated today’s date, May 1, June 1 and July 1. Each check should equal ¼ of the total above.
HMO REBATES: MAKE A COPY OF THIS FORM BEFORE SUBMITTING!
SUBMIT FORM TO: LAKE VIEW FARM
1423 LAKE VIEW DR • MADISON WI 53705