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2019 Centers Plan for Medicaid Advantage Plus (HMO SNP) Materials


Comprehensive Formulary
Language Link Last Updated
English download 12/02/19
中文 download 12/02/19
Español download 12/02/19

Evidence of Coverage
Language Link Last Updated
English download 06/14/19
Español download 06/14/19

Member Handbook
Language Link Last Updated
English download 02/05/19
Addendum download 12/03/19
Español download 05/30/19

Annual Notice of Changes
Language Link Last Updated
English download 11/07/19
Español download 02/05/19

Summary of Benefits
Language Link Last Updated
English download 05/29/19
Español download 05/29/19

Provider/Pharmacy Directory (pdf)
Languages Link Last Updated
English download 10/16/19
Español download Coming Soon




If you would like a copy of our Provider/Pharmacy Directory mailed to you, please call Member Services at 1-833-274-5627, TTY 1-800-421-1220 8 am-8pm, 7 days a week.

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Last modified: Dec 3, 2019