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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 12/1/23
中文 download 12/1/23
Español download 12/1/23

Evidence of Coverage
Language Link Last Updated
English download 02/27/23
中文 download 02/27/23
Español download 02/27/23

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

10/20/23
中文 download 06/30/23
Español  download 06/30/23

Medicare Nassau, Rockland & Westchester Directory (pdf)
Languages Link Last Updated
English download 10/20/23
中文 download 06/30/23
Español download 06/30/23
 
Dental Addendum _ Provider Directory
 
Pharmacy Directory (pdf)
Languages Link Last Updated
English download 10/20/23
中文 download 06/30/23
Español download 06/30/23
 
Medicaid Directory (pdf)
Languages Link Last Updated
English download 06/14/23
Spanish  download 06/14/23
Chinese download 06/14/23
 
Member Handbook
Language Link Last Updated
English download 09/2023
Español download 10/2023
中文 download 10/2023

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_2023

Last modified: Dec 1, 2023