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
Behavioral Health Services
EasyCare EasyCare Plus Total
Dental Services

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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Annual Notice of Change
EasyCare
Annual Notice of Change
2026 Plan
EnglishSpanishChinese
Summary of Benefits
EasyCare
Summary of Benefits
2026 Plan
EnglishSpanishChinese
Evidence of Coverage (Member Handbook)
EasyCare
Member Handbook
2026 Plan
EnglishSpanishChinese
Member Handbook Inserts
Total EasyCare Plus EasyCare
2026 Notice of Availability

Information on how to get interpreter services at no cost

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2026 Notice of Availability
OTC & Grocery Catalogs
EasyCare
Over-the-Counter (OTC) Program Catalog
2026 Plan
English/Spanish/Chinese