Health Plans Documents

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Forms
EasyCare EasyCare Plus Total
Health Information Exchange Fact Sheet and Form
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EnglishSpanishChinese
Health Care Proxy
EasyCare EasyCare Plus Total
Health Care Proxy
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EnglishSpanishChinese
Low-Income Subsidy Plan Premium Table
EasyCare EasyCare Plus Total
Low-Income Subsidy Plan Premium Table
2025 Plans
EnglishSpanishChinese
2026 Plans
EnglishSpanishChinese
Member Handbook Inserts
EasyCare EasyCare Plus Total
2026 Notice of Availability

Information on how to get interpreter services at no cost

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2026 Notice of Availability
Total
Behavioral Health Appointment Wait Times
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EnglishSpanishChinese
Total
E-Notice Insert
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EnglishSpanishChinese
Total
Interoperability Service Authorization Timeframe Change
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EnlgishSpanishChinese
Total
Minimum Needs Eligibility Requirement Insert
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EnglishSpanishChinese
Total
Social Care Network Insert
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EnglishSpanishChinese
Member Notices
Total
CDPAS – PPL Notice of Class Action Settlement and Language Assistance
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EnglishSpanish