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Plan Materials for EasyCare

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Clinical Coverage Criteria References

When Medicare does not fully define coverage for a service through statute, regulation, National Coverage Determinations, or Local Coverage Determinations, we use clinical coverage criteria based on current evidence, treatment guidelines, and clinical literature. These criteria comply with CMS requirements and are publicly available.

EasyCare EasyCare Plus Total
Acupuncture Authorization Guideline
Download PDF:
EasyCare EasyCare Plus Total
EasyCare EasyCare Plus Total
Dental Services (Coming Soon)
EasyCare EasyCare Plus Total
Medical Necessity and Other Clinical Coverage Criteria (Coming Soon)
EasyCare EasyCare Plus Total
Outpatient Physical, Occupational, and Speech Therapy Coverage Guideline
Download PDF:
Annual Notice of Change
EasyCare
Annual Notice of Change
Summary of Benefits
EasyCare
Summary of Benefits
Evidence of Coverage (Member Handbook)
EasyCare
Member Handbook
Member Handbook Inserts
EasyCare EasyCare Plus Total
2026 Notice of Availability

Information on how to get interpreter services at no cost

OTC & Grocery Catalogs
EasyCare
Over-the-Counter (OTC) Program Catalog