Last Updated: January 10, 2023 at 11:07 pm
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.
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2023 Plan Year |
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Annual Notice of Changes (ANOC) |
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Evidence of Coverage (EOC) |
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Summary of Benefits |
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Formulary (List of Covered Drugs) |
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Pharmacy Directory |
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Primary Care Provider Directory |
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Specialty Care Provider Directory |
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Over-the-Counter (OTC) Catalog |
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Benefits at a Glance |
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Non-Discrimination Notice and Multi-Language Interpreter Services |
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Star Ratings |
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Authorization to Release PHI (Protected Health Information) |
English | Spanish |
Disenrollment Form |
