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
Prior Authorization Requirements
Total
EasyCare Plus
Prior Authorization Requirements
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Requirements and Policies
Prior Authorization Request Forms
Total
EasyCare Plus
EasyCare
Opioid Prior Authorization Request Form
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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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