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Plan Materials for EasyCare Plus

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Clinical Coverage Criteria References

When Medicare does not fully define coverage for a service through statute, regulation, National Coverage Determinations, or Local Coverage Determinations, we use clinical coverage criteria based on current evidence, treatment guidelines, and clinical literature. These criteria comply with CMS requirements and are publicly available.

Total EasyCare Plus EasyCare
Acupuncture Authorization Guideline
Download PDF:
EasyCare Total EasyCare Plus
EasyCare EasyCare Plus Total
Dental Services (Coming Soon)
Total EasyCare Plus EasyCare
Medical Necessity and Other Clinical Coverage Criteria (Coming Soon)
Total EasyCare Plus EasyCare
Outpatient Physical, Occupational, and Speech Therapy Coverage Guideline
Download PDF:
Annual Notice of Change
EasyCare Plus
Annual Notice of Change
Summary of Benefits
EasyCare Plus
Summary of Benefits
Evidence of Coverage (Member Handbook)
EasyCare Plus
Member Handbook
Member Handbook Inserts
Total EasyCare Plus EasyCare
2026 Notice of Availability

Information on how to get interpreter services at no cost

OTC & Grocery Catalogs
EasyCare Plus Total
Over-the-Counter (OTC) and Grocery Program Catalog