Health Plans Documents
Access forms, documents, and resources for all Medicare Advantage plans.
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Choose your plan on the left to see all the documents related to it. You can also select specific document types to see only those ones.
Drug List (Formulary)
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EasyCare Plus
Drug List (Formulary)
EasyCare Plus
Total
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF:
Step Therapy Requirements
Prior Authorization Requirements
Requirements and Policies
Total
EasyCare Plus
EasyCare
Medicare Part D Opioid Policies
Download PDF:
Health Care Proxy
Forms
EasyCare
EasyCare Plus
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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
Total
EasyCare Plus
EasyCare
Authorization for Release of Health Information Form (DOH 5032)