Here is where you will find our most up-to-date information on health plan benefits, provider directories, a list of covered drugs, and more.
If you are a member and would like any of the following documents mailed to you, please call Member Services at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.
We are here to help. If you have questions, please call Member Services at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.
| 2022 Plan Year |
Annual Notice of Changes (ANOC) |
Evidence of Coverage (EOC) |
Summary of Benefits |
Formulary (List of Covered Drugs) |
Pharmacy Directory |
Primary Care Provider Directory |
Specialty Care Provider Directory |
Over-the-Counter (OTC) Catalog |
Benefits at a Glance |
Non-Discrimination Notice and Multi-Language Interpreter Services |
Star Ratings |
Authorization to Release PHI (Protected Health Information) |
Disenrollment Form |
Last Updated: 12/31/2021
