Health Plans Documents

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

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Drug List (Formulary)
Total EasyCare Plus
2026 Online Drug List (Formulary)
EasyCare Plus Total
Drug List (Formulary)
Download PDF:
2026 Plan Formulary - September 2026 (English/Spanish/Chinese)
EasyCare Plus Total
Future Formulary Changes

Please check these formulary updates for upcoming changes in the drug coverage list.

Download PDF:
September 2026
Step Therapy Requirements
EasyCare Plus Total
Step Therapy Requirements
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September 2026
Prior Authorization Requirements
Total EasyCare Plus
Prior Authorization Requirements
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September 2026
Requirements and Policies
EasyCare EasyCare Plus Total
Medicare Part D Opioid Policies
Download PDF:
Opioid Pharmacist Tip Sheet
Total
Prescription Drug Transitional Care Policy
Download PDF:
EnglishSpanishChinese
Prior Authorization Request Forms
EasyCare EasyCare Plus Total
Request for Medicare Prescription Drug Coverage Determination – Online Form
EasyCare EasyCare Plus Total
Request for Medicare Prescription Drug Coverage Determination – PDF Form
Download PDF:
Determination Form
EasyCare EasyCare Plus Total
Request for Medicare Prescription Drug Coverage Redetermination
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Redetermination Form