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2022 Centers Plan for Medicaid Advantage Plus (HMO D-SNP) Materials


Comprehensive Formulary (List of Covered Drugs)
Language Link Last Updated
English download 08/31/22
中文 download 08/31/22
Español download 08/31/22

Evidence of Coverage
Language Link Last Updated
English download 11/11/21
中文 download 12/10/21
Español download 12/10/21

Annual Notice of Changes
Language Link Last Updated
English download 09/27/21
中文 download 09/27/21
Español download 09/27/21

Summary of Benefits
Language Link Last Updated
English download 05/09/22
Español download 05/09/22
中文 download 05/09/22
 
Click here for the most up-to-date list of Providers

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

Book 1

Book 2

09/22/22
中文 download 09/26/22
Español  download 09/26/22

Medicare Nassau, Rockland & Westchester Directory (pdf)
Languages Link Last Updated
English download 09/22/22
中文 download 09/26/22
Español download 09/26/22
 
Pharmacy Directory (pdf)
Languages Link Last Updated
English download 09/22/22
中文 download 09/26/22
Español download 09/26/22
 
Medicaid Directory (pdf)
Languages Link Last Updated
English download 05/11/21
Spanish  download 05/11/21
Chinese download 05/11/21
 
Member Handbook
Language Link Last Updated
English download 04/28/22
Español download 04/28/22
中文 download 04/28/22

If you would like a copy of our Provider/Pharmacy Directory mailed to you, please call Member Services at 1-833-274-5627

Click here for the HIPAA Privacy Policy

Medicare Disclaimer

 

H6988_ MKT4006_M_2022

Last modified: Sep 26, 2022