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Health Plans Documents

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

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Drug Benefits

Choose your plan to view or download information about your drug benefits, including formularies. You can also select specific document types to view or download the ones you need.

Step Therapy Requirements
EasyCare
Step Therapy Requirements
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Total EasyCare Plus
Step Therapy Requirements
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Prior Authorization Requirements
Total EasyCare Plus
Prior Authorization Requirements
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EasyCare
Prior Authorization Requirements
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Requirements and Policies
EasyCare Plus
Prescription Drug Transitional Care Policy
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EasyCare
Prescription Drug Transitional Care Policy
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Prior Authorization Request Forms
Total EasyCare Plus EasyCare
Opioid Prior Authorization Request Form
EasyCare Plus Total EasyCare
EasyCare Plus EasyCare Total
Request for Medicare Prescription Drug Coverage Determination – PDF Form
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EasyCare Plus Total EasyCare
Request for Medicare Prescription Drug Coverage Redetermination
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