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2023 Centers Plan for Dual Coverage Care (HMO D-SNP) Materials


Comprehensive Formulary (List of Covered Drugs)
Language Link Last Updated
English download 01/13/23
中文 download 01/13/23
Español download 01/13/23

Evidence of Coverage
Language Link Last Updated
English download 12/08/22
中文 download 12/13/22
Español download 12/13/22

Annual Notice of Changes
Language Link Last Updated
English download 11/16/22
中文 download 09/19/22
Español download 09/16/22

Summary of Benefits
Language Link Last Updated
English download 11/16/22
Español download 10/06/22
中文 download 10/07/22
 
Click here for the most up-to-date list of Providers

Medicare New York City Provider Directory (pdf)
Languages Link Last Updated
English 

download

10/15/22
中文 download 12/19/22
Español  download 12/19/22
 
Dental Addendum_Provider Directory
 
Pharmacy Directory (pdf)
Languages Link Last Updated
English download 11/1/22
中文 download 12/19/22
Español download 12/19/22
 

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

Click here for the HIPAA Privacy Policy

Medicare Disclaimer

 

H6988_ MKT4006_M_2023

Last modified: Jan 17, 2023