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2023 Centers Plan for Medicaid Advantage Plus (HMO D-SNP) Materials


Comprehensive Formulary (List of Covered Drugs)
Language Link Last Updated
English download 10/26/22
中文 download 11/11/22
Español download 10/26/22

Evidence of Coverage
Language Link Last Updated
English download 11/16/22
中文 download 10/27/22
Español download 10/27/22

Annual Notice of Changes
Language Link Last Updated
English download 09/26/22
中文 download 10/19/22
Español download 10/19/22

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

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

download

11/10/22
中文 download Coming Soon
Español  download Coming Soon

Medicare Nassau, Rockland & Westchester Directory (pdf)
Languages Link Last Updated
English download 11/10/22
中文 download Coming Soon
Español download Coming Soon
 
Pharmacy Directory (pdf)
Languages Link Last Updated
English download 11/10/22
中文 download Coming Soon
Español download Coming Soon
 
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

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Medicare Disclaimer

 

H6988_ MKT4006_M_2023

Last modified: Nov 30, 2022