Health Plans Documents

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

Find a Document
Filtered (11)
Filters
Resource Type
Plan Name
Document
Show (11)
Cancel
11 Results
Prescription Drug Copay Table
EasyCare
Prescription Drug Copay Table
2026 Plan
EnglishSpanishChinese
Drug List (Formulary)
EasyCare
2026 Online Drug List (Formulary)
EasyCare
Drug List (Formulary)
Download PDF:
2026 Plan Formulary - June 2026 (English/Spanish/Chinese)
EasyCare
Future Formulary Changes

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

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