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Health Plans Documents

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

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Clinical Coverage Criteria References
Total EasyCare Plus EasyCare
Acupuncture Authorization Guideline
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Total EasyCare EasyCare Plus
EasyCare EasyCare Plus Total

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

Total EasyCare Plus 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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Member Handbook Inserts
Total EasyCare Plus EasyCare
2026 Notice of Availability

Information on how to get interpreter services at no cost

OTC & Grocery Catalogs
EasyCare Plus Total
Over-the-Counter (OTC) and Grocery Program Catalog
Rewards Program
EasyCare EasyCare Plus Total
Member Rewards Program Flyer
Plan Star Ratings
Total EasyCare Plus EasyCare
Plan Star Ratings
Low-Income Subsidy Plan Premium Table
EasyCare EasyCare Plus Total
Low-Income Subsidy Plan Premium Table