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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.

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