Skip to main content

Health Plans Documents

Access forms, documents, and resources for all Medicare Advantage plans.

Filters

Plan Name

Document Purpose

Find the Documents you Need

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.

Plan Star Ratings
Total EasyCare Plus EasyCare
Plan Star Ratings
Member Notices
Total
CDPAS – PPL Notice of Class Action Settlement and Language Assistance
Download PDF:
Total
Language Assistance Notice
Download PDF:
Total
Notice of Non-Discrimination
Download PDF:
Low-Income Subsidy Plan Premium Table
Total EasyCare Plus EasyCare
Low-Income Subsidy Plan Premium Table
Drug List (Formulary)
Total EasyCare Plus
EasyCare Plus Total
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.

Download PDF:
Step Therapy Requirements
Total EasyCare Plus
Step Therapy Requirements
Download PDF:
Download PDF: