Health Plans Documents
Access forms, documents, and resources for all Medicare Advantage plans.
Sort by Resource Type
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.
Low-Income Subsidy Plan Premium Table
Prescription Drug Copay Table
Drug List (Formulary)
EasyCare
Drug List (Formulary)
EasyCare Plus
Total
Drug List (Formulary)
EasyCare
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF:
EasyCare Plus
Total
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF: