Health Plans Documents

Access forms, documents, and resources for all Medicare Advantage plans.

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Guidelines
EasyCare EasyCare Plus MLTC Total
Access Guidelines
Clinical Coverage Criteria References
Total EasyCare Plus EasyCare
Behavioral Health Services
Total EasyCare Plus EasyCare
Dental Services

Click on the link and please refer to the PDF under “Other Documents” titled: “Healthplex Dental Claim Review Guidelines (Comprehensive & Limited Plans)”

EasyCare Plus Total EasyCare
Medical Necessity and Other Clinical Coverage Criteria (Coming Soon)
Total EasyCare Plus EasyCare
Outpatient Physical, Occupational, and Speech Therapy Coverage Guideline
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Annual Notice of Change
EasyCare Plus
Annual Notice of Change
2026 Plan
EnglishSpanishChinese
Summary of Benefits
EasyCare Plus
Summary of Benefits
2026 Plan
EnglishSpanishChinese
Evidence of Coverage (Member Handbook)
EasyCare Plus
Member Handbook
2026 Plan
EnglishSpanishChinese
Member Handbook Inserts
EasyCare EasyCare Plus Total
2026 Notice of Availability

Information on how to get interpreter services at no cost

Download PDF:
2026 Notice of Availability
OTC & Grocery Catalogs
Total EasyCare Plus
Over-the-Counter (OTC) and Grocery Program Catalog
2026 Plans
English/Spanish/Chinese