Health Plans Documents
Access forms, documents, and resources for all Medicare Advantage plans.
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Low-Income Subsidy Plan Premium Table
Prescription Drug Copay Table
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
Requirements and Policies
EasyCare
EasyCare Plus
Total
Medicare Part D Opioid Policies
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