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)
Total
EasyCare Plus
Drug List (Formulary)
Total
EasyCare Plus
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
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Step Therapy Requirements
Prior Authorization Requirements
EasyCare Plus
Total
Prior Authorization Requirements
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Requirements and Policies
EasyCare
EasyCare Plus
Total
Medicare Part D Opioid Policies
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Health Care Proxy
Member 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