Skip to main content

Health Plans Documents

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

Filters

Plan Name

Document Purpose

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.

Prior Authorization Request Forms
EasyCare EasyCare Plus Total
Request for Medicare Prescription Drug Coverage Determination – PDF Form
Download PDF:
EasyCare EasyCare Plus Total
Request for Medicare Prescription Drug Coverage Redetermination
Download PDF: