Member Resources:

• Evidence of Coverage (EOC)(PDF) (English)
  
  
• Evidence of Coverage (EOC)(PDF) (Spanish)
  
  
• Summary of Benefits (PDF) (English)
  
  
• Member Rights & Responsibilities (PDF)
• Formulary/Medication Listing
• Pharmacy Directory (PDF) (English)
• Drug Transition Policy  (PDF)
• Provider Directory  (PDF)

• Providers
• Urgent Care
• Hospitals

• Enrollment Form (Application) (PDF) (English)
• Enrollment Form (Application) (PDF) (Spanish)
• Appointment of Representative Form (PDF) (English)
• Appointment of Representative Form (PDF) (Spanish)
• CMS Part C Coverage Reconsideration Request Form (PDF)
• CMS Part D Coverage Determination Request Form (PDF)

Please click on the following link to access Centers for Medicare & Medicaid Services website:

Please click on the following link to access the Medicare and You Handbook:

Please click on the following link to obtain information on help with prescription drug costs: