Health Plans Documents
Access forms, documents, and resources for all Medicare Advantage plans.
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Drug Benefits for EasyCare
Choose your plan to view or download information about your drug benefits, including formularies. You can also select specific document types to view or download the ones you need.
Prior Authorization Request Forms
EasyCare Plus
Total
EasyCare
EasyCare Plus
EasyCare
Total
Request for Medicare Prescription Drug Coverage Determination – PDF Form
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EasyCare
EasyCare Plus
Total
Request for Medicare Prescription Drug Coverage Redetermination
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