Health Plans Documents

Plan Name

EasyCare EasyCare Plus Total

Document

Annual Notice of Change Clinical Coverage Criteria References Drug List (Formulary) Evidence of Coverage (Member Handbook) Forms Health Care Proxy Low-Income Subsidy Plan Premium Table Member Handbook Inserts Member Notices OTC & Grocery Catalogs Plan Star Ratings Prescription Drug Copay Table Prior Authorization Request Forms Prior Authorization Requirements Requirements and Policies Resources Rewards Program Step Therapy Requirements Summary of Benefits Your Rights and Responsibilities