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2022 Centers Plan for Dual Coverage Care (HMO D-SNP) Materials


Comprehensive Formulary (List of Covered Drugs)
Language Link Last Updated
English download 11/30/22
中文 download 11/30/22
Español download 11/30/22

Evidence of Coverage
Language Link Last Updated
English download 12/27/21
中文 download 12/27/31
Español download 12/27/21

Annual Notice of Changes
Language Link Last Updated
English download 12/28/21
中文 download 12/28/21
Español download 12/28/21

Summary of Benefits
Language Link Last Updated
English download 12/28/21
中文 download 09/30/21
Español download 12/28/21
 
Click here for the most up-to-date list of Providers

Provider Directory (pdf)
Languages Link Last Updated
English 

Book 1

Book 2

09/15/22
中文 download 09/21/22
Español download 09/21/22
 
Pharmacy Directory (pdf)
Languages Link Last Updated
English

download 

09/14/22
中文 download 09/21/22
Español download 09/21/22

If you would like a copy of our Provider/Pharmacy Directory mailed to you, please call Member Services at 1-877-940-9330

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Medicare Disclaimer

H6988_ MKT4006_M_2022

Last modified: Nov 30, 2022