Health Plans Documents
Access forms, documents, and resources for all Medicare Advantage plans.
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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
Dental Services (Coming Soon)
EasyCare
EasyCare Plus
Total
Medical Necessity and Other Clinical Coverage Criteria (Coming Soon)
EasyCare
Total
EasyCare Plus
Outpatient Physical, Occupational, and Speech Therapy Coverage Guideline
Download PDF:
Annual Notice of Change
Summary of Benefits
Evidence of Coverage (Member Handbook)
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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