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Drug List (Formulary)
EasyCare
Drug List (Formulary)
EasyCare Plus Total
Drug List (Formulary)
EasyCare
Future Formulary Changes

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

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EasyCare Plus Total
Future Formulary Changes

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

Download PDF:
Evidence of Coverage (Member Handbook)
EasyCare
Member Handbook
EasyCare Plus
Member Handbook
Total
Member Handbook
Forms
EasyCare EasyCare Plus Total
Appointment of Representative Form

You may appoint a relative, friend, attorney, or anyone else whom you trust to act on your behalf. A representative who is appointed by the court or who is active in accordance with state law may also file an appeal or grievance for you. To appoint a representative you must complete an Appointment of Representative form.

You can give us a copy of the form or letter or mail it to:
VNS Health
Health Plans – Care Team
220 East 42nd Street
New York, NY 10017

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EasyCare EasyCare Plus Total
Authorization for Release of Health Information Form (DOH 5032)
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Total
CDPAS Recertification – Physician Order Form

Total Members can have their home care service provided by a consumer directed personal care assistant through Consumer Directed Personal Assistance Services (CDPAS). The physician order form is required during the initial assessment and every 6 months during CDPAS recertification.

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