Health Plans Documents

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

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Clinical Coverage Criteria References
Total EasyCare Plus EasyCare
National Comprehensive Cancer Network (NCCN) Clinical Guidelines
Total EasyCare Plus EasyCare
Dental Services

Click on the link and please refer to the PDF under “Other Documents” titled: “Healthplex Dental Claim Review Guidelines (Comprehensive & Limited Plans)”

EasyCare Plus Total EasyCare
Behavioral Health Services
Total EasyCare Plus EasyCare
Outpatient Physical, Occupational, and Speech Therapy Coverage Guideline
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Annual Notice of Change
Total
Annual Notice of Change
2026 Plan
EnglishSpanishChinese
Summary of Benefits
Total
Summary of Benefits
2026 Plan
EnglishSpanishChinese
Evidence of Coverage (Member Handbook)
Total
Member Handbook
2026 Plan
EnglishSpanishChinese
Member Handbook Inserts
Total
Interoperability Service Authorization Timeframe Change
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EnlgishSpanishChinese
Total
Minimum Needs Eligibility Requirement Insert
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EnglishSpanishChinese
Total
Behavioral Health Appointment Wait Times
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EnglishSpanishChinese