Health Plans Documents

Plan Name

EasyCare EasyCare Plus Total

Document

Clinical Coverage Criteria References Annual Notice of Change Summary of Benefits Evidence of Coverage (Member Handbook) Member Handbook Inserts OTC & Grocery Catalogs Rewards Program Plan Star Ratings Member Notices Low-Income Subsidy Plan Premium Table Prescription Drug Copay Table Drug List (Formulary) Step Therapy Requirements Prior Authorization Requirements Requirements and Policies Health Care Proxy Forms Your Rights and Responsibilities Prior Authorization Request Forms Resources