Below are the agent documents and resources from our carriers, starting with 2020 Plans, 2019 Plans are below.


2020 El Paso, TX Plans


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AARP Plans

Click here to be directed to AARP website


UHC Find a Doctor

AARP MED ADV CHOICE PPO H2228-023

____________________English____________________
2020 COMPLETE FORMULARY

ALTERNATIVE COVERED DRUGS

ANOC 4569079

BENEFIT HIGHLIGHTS

EOC

Prior_Auth_MCORE_2020

STAR RATINGS H2228

Step_Therapy_MCORE_2020

SUMMARY OF BENEFITS

VENDOR INFORMATION

____________________Spanish____________________
AVISO ANUAL DE CAMBIOS

BENEFICIOS IMPORTANTES (HIGHLIGHTS)

CALIFICACIONES-POR-ESTRELLAS-MEDICARE

EVIDENCIA DE COBERTURA

INFORMACION SOBRE PROVEEDORES

LISTA COMPLETA DE MEDICAMENTOS (FORMULARIO)

MEDICAMENTOS ALTERNATIVOS CUBIERTOS

RESUMEN DE BENEFICIOS


AARP MED ADV FOCUS HMO H4527-005

____________________English____________________
ALTERNATIVE COVERED DRUGS

ANOC ANUAL NOTICE OF CHANGES

BENEFIT HIGHLIGHTS

EOC EVIDENCE OF COVERAGE

FORMULARY COMPLETE DRUG LIST

MEDICARE STAR RATINGS 2019

Prior_Auth_MCORE_2020-1

Step_Therapy_MCORE_2020-1

SUMMARY OF BENEFITS

VENDOR INFORMATION

____________________Spanish____________________
BENEFICIOS IMPORTANTES (HIGHLIGHTS)

CALIFICACIONES-POR-ESTRELLAS-MEDICARE

ENOC AVISO ANUAL DE CAMBIOS

EOC EVIDENCIA DE COBERTURA

FORMULARIO LISTA COMPLETA DE MEDICAMENTOS

INFORMACION SOBRE PROVEEDORES

MEDICAMENTOS ALTERNATIVOS

RESUMEN DE BENEFICIOS


AARP MED ADV FOCUS ESSENTIAL HMO-POS H4527-024

____________________English____________________
ANOC ANUAL NOTICE OF CHANGES

BENEFIT HIGHLIGHTS

EOC EVIDENCE OF COVERAGE

STAR RATINGS 2019

SUMMARY OF BENEFITS

VENDOR INFORMATION

____________________Spanish____________________
BENEFICIOS IMPORTANTES (HIGHLIGHTS)

CALIFICACIONES-POR-ESTRELLAS-MEDICARE

ENOC AVISO ANUAL DE CAMBIOS

INFORMACION SOBRE PROVEEDORES

RESUMEN DE BENEFICIOS


AARP MEDICARERX PREFERRED (PDP) S5820-021

____________________English____________________
Alternative Covered Drugs for AARP MedicareRX PREFERRED (PDP) S5820-021

ANOC Annual Notice of Change for AARP MedicareRX PREFERRED (PDP) S5820-021

Coming Soon Additions_PPREF_2020 for AARP MedicareRX PREFERRED (PDP) S5820-021

Coming Soon Deletions_PPREF_2020 for AARP MedicareRX PREFERRED (PDP) S5820-021

EOC Evidence of Coverage for AARP MedicareRX PREFERRED (PDP) S5820-021

Formulary Complete Drug List for AARP MedicareRX PREFERRED (PDP) S5820-021

English star rating

Prior_Auth_PPREF_2020 for AARP MedicareRX PREFERRED (PDP) S5820-021

Step_Therapy_PPREF_2020 for AARP MedicareRX PREFERRED (PDP) S5820-021

Summary of Plan for AARP MedicareRX PREFERRED (PDP) S5820-021

____________________Spanish____________________
ANOC Aviso Anual de Cambios para AARP MedicareRX PREFERRED (PDP) S5820-021

CALIFICACIONES-POR-ESTRELLAS-MEDICARE

Coming Soon Directorio de Farmacias para AARP MedicareRX PREFERRED (PDP) S5820-021

EOC Evidencia de Cobertura para AARP MedicareRX PREFERRED (PDP) S5820-021

Formulario Lista Completa de Medicamentos para AARP MedicareRX PREFERRED (PDP) S5820-021

Medicamentos Alternativos Cubiertos para AARP MedicareRX PREFERRED (PDP) S5820-021

Resumen De Beneficios para AARP MedicareRX PREFERRED (PDP) S5820-021


AARP MEDICARERX SAVER PLUS (PDP) S5921-367

____________________English____________________
Alternative Covered Drugs for AARP MedicareRX SAVER PLUS (PDP) S5921-367

ANOC Annual Notice of Changes for S5921-367 AARP MedicareRX SAVER PLUS (PDP)

Coming Soon Additions_PSAVE_2020 for S5921-367 AARP MedicareRX SAVER PLUS (PDP)

Coming Soon Deletions_PSAVE_2020 for AARP MedicareRX SAVER PLUS (PDP) S5921-367

EOC Evidence of Coverage for S5921-367 AARP MedicareRX SAVER PLUS (PDP)

Formulary Complete Drug list for S5921-367 AARP MedicareRX SAVER PLUS (PDP)

Prior_Auth_PSAVE_2020 for S5921-367 AARP MedicareRX SAVER PLUS (PDP)

Step_Therapy_PSAVE_2020 for S5921-367 AARP MedicareRX SAVER PLUS (PDP)

Summary of Benefits for S5921-367 AARP MedicareRX SAVER PLUS (PDP)

____________________Spanish____________________
ANOC Aviso Anual de Cambios para AARP MedicareRX SAVER PLUS (PDP) S5921-367

Calificaciones por Estrellas para AARP MedicareRX SAVER PLUS (PDP) S5921-367

Coming Soon Directorio de Farmacias para AARP MedicareRX SAVER PLUS (PDP) S5921-367

Evidencia de Cobertura para AARP MedicareRX SAVER PLUS (PDP) S5921-367

Formulario Lista Completa de Medicamentos para AARP MedicareRX SAVER PLUS (PDP) S5921-367

Medicamentos Alternativos Cubiertos para AARP MedicareRX SAVER PLUS (PDP) S5921-367

Resumen de Beneficios para AARP MedicareRX SAVER PLUS (PDP) S5921-367


United Healthcare Plans

Click here to be directed to UHC website

UHC CHRONIC COMPLETE HMO C-SNP H4527-040

____________________English____________________
Alternative Covered Drugs for UHC Chronic Complete (HMO C-SNP) H4527-040

Benefit Highlights for UHC Chronic Complete (HMO C-SNP) H4527-040

Comin Soon Additions_MCSNP_2020 for UHC Chronic Complete (HMO C-SNP) H4527-040

Coming Soon Pharmacy Directory for UHC Chronic Complete (HMO C-SNP) H4527-040

Coming Soon Deletions_MCSNP_2020 for UHC Chronic Complete (HMO C-SNP) H4527-040

EOC Evidence of Coverage for UHC Chronic Complete (HMO C-SNP) H4527-040

Formulary Complete Drug List for UHC Chronic Complete (HMO C-SNP) H4527-040

Medicare Star Ratings for UHC Chronic Complete (HMO C-SNP) H4527-040

Prior_Auth_MCSNP_2020 for UHC Chronic Complete (HMO C-SNP) H4527-040

Provider Directory for UHC Chronic Complete (HMO C-SNP) H4527-040

Step_Therapy_MCSNP_2020 for UHC Chronic Complete (HMO C-SNP) H4527-040

Summary of Benefits for UHC Chronic Complete (HMO C-SNP) H4527-040

Vendor Information for UHC Chronic Complete (HMO C-SNP) H4527-040

____________________Spanish____________________
Beneficios Importantes (Highlights) para UHC Chronic Complete (HMO C-SNP) H4527-040

CALIFICACIONES-POR-ESTRELLAS-MEDICARE

Coming Soon Directorio de Farmacias para UHC Chronic Complete (HMO C-SNP) H4527-040

Directorio de Proveedores para UHC Chronic Complete (HMO C-SNP) H4527-040

EOC Evidencia de Cobertura para UHC Chronic Complete (HMO C-SNP) H4527-040

Formulario Lista Completa de Medicamentos para UHC Chronic Complete (HMO C-SNP) H4527-040

Informacion sobre Proveedorespara UHC Chronic Complete (HMO C-SNP) H4527-040

Medicamentos Alternativos Cubiertos para UHC Chronic Complete (HMO C-SNP) H4527-040

Resumen de Beneficios para UHC Chronic Complete (HMO C-SNP) H4527-040


UHC DUAL COMPLETE FOCUS HMO D-SNP H4527-006

____________________English____________________
ALTERNATIVE COVERED DRUGS for UHC Dual Complete Focus HMO H4527-006ANOC ANUAL NOTICE OF CHANGES for UHC Dual Complete Focus HMO H4527-006

BENEFIT HIGHLIGHTS for UHC Dual Complete Focus HMO H4527-006

Coming Soon Additions_MCORE_2020-4 for UHC Dual Complete Focus HMO H4527-006

Coming soon Deletions_MCORE_2020-4

Coming Soon Provider Directory for UHC Dual Complete Focus HMO H4527-006

EOC EVIDENCE OF COVERAGE for UHC Dual Complete Focus HMO H4527-006

FORMULARY COMPLETE DRUG LIST for UHC Dual Complete Focus HMO H4527-006

MEDICARE STAR RATINGS 2019 for UHC Dual Complete Focus HMO H4527-006

PHARMACY DIRECTORY INFO for UHC Dual Complete Focus HMO H4527-006

Prior_Auth_MCORE_2020-4 for UHC Dual Complete Focus HMO H4527-006

Step_Therapy_MCORE_2020-5 for UHC Dual Complete Focus HMO H4527-006

SUMMARY OF BENEFITS for UHC Dual Complete Focus HMO H4527-006

VENDOR INFORMATION for UHC Dual Complete Focus HMO H4527-006

____________________Spanish____________________
ANOC Aviso Anual de Cambios para UHC Dual Complete Focus HMO H4527-006

Beneficios Importantes (Highlights) para UHC Dual Complete Focus HMO H4527-006

CALIFICACIONES-POR-ESTRELLAS-MEDICARE

Coming Soon Directorio de Proveedores para UHC Dual Complete Focus HMO H4527-006

Coming Soon Info de Directorio de Farmacias para UHC Dual Complete Focus HMO H4527-006

EOC Evidencia de Cobertura para UHC Dual Complete Focus HMO H4527-006

Formulario Lista Completa de Medicamentos para UHC Dual Complete Focus HMO H4527-006

Informacion sobre Proveedores para UHC Dual Complete Focus HMO H4527-006

Medicamentos Alternativos para UHC Dual Complete Focus HMO H4527-006

Resumen de Beneficios para UHC Dual Complete Focus HMO H4527-006


UHC DUAL COMPLETE CHOICE (REGIONAL PPO D-SNP) R6801-011

____________________English____________________
Alternative Covered Drugs for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011ANOC Anual Notice of Changes for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Benefit Highlights for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Coming Soon Additions_MCORE_2020 for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Coming Soon Deletions_MCORE_2020 for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Coming Soon Pharmacy Directory Info for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Coming Soon Provider Directory for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

EOC Evidence of Coverage for UHC Dual Complete Choice (Regional PPO D-SNP)

Formulary Complete Drug List for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Medicare Star Rating for UHC Dual Complete Choice (Regional PPO D-SNP)

Prior_Auth_MCORE_2020 for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Step_Therapy_MCORE_2020 for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Summary of Benefits for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-001

Vendor Information for UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

____________________Spanish____________________
ANOC Aviso Anual de Cambios para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Beneficios Importantes (Highlights) para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Calificacion por Estrellas para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Coming Soon Comprovante de Cobertura para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Coming Soon Directorios de Farmacias para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Coming Soon Directorios de Proveedores para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Formulario Lista Completa de Medicamentos para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Informacion sobre Proveedores para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Medicamentos Alternativos Cubiertos para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011

Resumen de Beneficios para UHC Dual Complete Choice (Regional PPO D-SNP) R6801-011


UHC DUAL COMPLETE PPO D-SNP H2228-041

____________________English____________________

ALTERNATIVE COVERED DRUGS

ANOC ANUAL NOTICE OF CHANGES

BENEFIT HIGHLIGHTS

EOC EVIDENCE OF COVERAGE

FORMULARY COMPLETE DRUG LIST

MEDICARE STAR RATINGS 2019

Prior_Auth_MCORE_2020-3

Step_Therapy_MCORE_2020-4

SUMMARY OF BENEFITS

VENDOR INFORMATION

____________________Spanish____________________
ANOC AVISO ANUAL DE CAMBIOS

BENEFICIOS IMPORTANTES (HIGHLIGHTS)

CALIFICACIONES POR ESTRELLAS 2019

FORMULARIO LISTA COMPLETA DE MEDICAMENTOS

INFORMACION SOBRE PROVEEDORES

MEDICAMENTOS ALTERNATIVOS

RESUMEN DE BENEFICIOS


UHC MED ADV CHOICE REGIONAL PPO R6801-012

____________________English____________________
ALTERNATIVE COVERED DRUGS

ANOC ANUAL NOTICE OF CHANGES

BENEFIT HIGHLIGHTS

EOC EVIDENCE OF COVERAGE

FORMULARY COMPLETE DRUG LIST

MEDICARE STAR RATINGS 2019

Prior_Auth_MCORE_2020-2

Step_Therapy_MCORE_2020-3

SUMMARY OF BENEFITS

VENDOR INFORMATION

____________________Spanish____________________
ANOC AVISO ANUAL DE CAMBIOS

BENEFICIOS IMPORTANTES (HIGHLIGHTS)

CALIFICACIONES POR ESTRELLAS 2019

FORMULARIO LISTA COMPLETA DE MEDICAMENTOS

INFORMACION SOBRE PROVEEDORES

MEDICAMENTOS ALTERNATIVOS CUBIERTOS

RESUMEN DE BENEFICIOS


UHC MEDICARE SILVER (Regional PPO C-SNP) R6801-008

____________________English____________________
Alternative Covered Drugs for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

ANOC Anual Notice of Changes for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Benefit Highlights for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Coming Soon Additions_MCSNP_2020-1 for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Coming Soon Provider Directory for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Coming Soon Deletions_MCSNP_2020-1 for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Coming Soon Pharmacy Directory for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

EOC Evidence of Coverage for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Formulary Complete Drug List for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Medicare Star Ratings for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Prior_Auth_MCSNP_2020-1 for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Step_Therapy_MCSNP_2020-1 for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Summary of Benefits for UHC Medicare SIlver (Regional PPO C-SNP)

Vendor Information for UHC Medicare Silver (Regional PPO C-SNP) R6801-008

____________________Spanish____________________
ANOC Aviso Anual de Cambios para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Beneficios Importantes (Highlights) para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Calificaciones poe Estrellas para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Coming Soon Directorio de Farmacias para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Coming Soon Directorios de Proveedores para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

EOC Evidencia de Cobertura para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Formulario Lista Completa de Medicamentos para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Informacion sobre Proveedores para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Medicamentos Alternativos Cubiertos para UHC Medicare Silver (Regional PPO C-SNP) R6801-008

Resumen de Beneficios para UHC Medicare Silver (Regional PPO C-SNP) R6801-008


UHC MEDICARE GOLD (Regional PPO C-SNP) R6801-009

____________________English____________________
Alternative Covered Drugs for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

ANOC Anual Notice of Changes for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Benefit Highlights for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Coming Soon Provider Directory for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Coming Soon Additions_MCSNP_2020-2 for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Coming Soon Deletions_MCSNP_2020-2 for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Coming Soon Pharmacy Directory for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

EOC Evidence if Coverage for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Formulary Complete list of Drugs for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Medicare Star Ratings for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Prior_Auth_MCSNP_2020-2 for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Step_Therapy_MCSNP_2020-2 for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Summary of Benefits for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Vendor Information for UHC Medicare Gold (Regional PPO C-SNP) R6801-009

____________________Spanish____________________
ANOC Aviso Anual de Cambios para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Beneficios Importantes (Highlights) para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Calificaciones por Estrellas para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Coming Soon Directorio de Farmacias para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Coming Soon Directorio de Proveedores para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Coming Soon EOC Comprobante de Cobertura para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Formulario Lista Completa de Medicamentos para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Informacion de Proveedores para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Medicamentos Alternativos Cubiertos para UHC Medicare Gold (Regional PPO C-SNP) R6801-009

Resumen de Beneficios para UHC Medicare Gold (Regional PPO C-SNP) R6801-009


Aetna Plans

Aetna Permission To Contact_ENG

Aetna Scope Of App_English

Aetna Non-Discrimination

Click here to be directed to the Aetna website

SALES PRESENTATIONS

____________________English____________________

Y0001_6013_16923_M_Aetna_English_Animated

2020 Aetna Medicare Advantage Plans Eng.

2020 Aetna DSNP Eng


____________________Spanish____________________

2020 Sales Presentation Video - Aetna Spanish (Click to Open)

2020 Aetna Planes Medicare Advantage Spanish

2020 Aetna DSNP SPN
Aetna SOA_Spanish


Aetna Find A Doctor

Aetna Medicare Choice Plan (PPO) H3288-007

____________________English____________________
Evidence of Coverage for Aetna Medicare Choice Plan (PPO) H3288-007

Formulary for Aetna Medicare Choice Plan (PPO) H3288-007

Low Income Subsidy Information for Aetna Medicare Choice Plan (PPO) H3288-007

Plan Details for Aetna Medicare Choice Plan (PPO) H3288-007

Prior Authorization Information for Aetna Medicare Choice Plan (PPO) H3288-007

Step Therapy Information for Aetna Medicare Choice Plan (PPO) H3288-007

Summary of Benefits for Aetna Medicare Choice Plan (PPO) H3288-007

____________________Spanish____________________
Evidencia de Cobertura (Español) para Aetna Medicare Choice Plan (PPO) H3288-007

Formulario (Español) para Aetna Medicare Choice Plan (PPO) H3288-007

Resumen de Beneficios (Español) para Aetna Medicare Choice Plan (PPO) H3288-007

Subsidio de Bajos Ingresos (Español) para Aetna Medicare Choice Plan (PPO) H3288-007


Aetna Medicare Plus Plan (PPO) H3288-010

____________________English____________________
Evidence of Coverage for Aetna Medicare Plus Plan (PPO) H3288-010

Formulary for Aetna Medicare Plus Plan (PPO) H3288-010

Low Income Subsidy Information for Aetna Medicare Plus Plan (PPO) H3288-010

Plan Details for Aetna Medicare Plus Plan (PPO) H3288-010

Prior Authorization Information for Aetna Medicare Plus Plan (PPO) H3288-010

Step Therapy Information for Aetna Medicare Plus Plan (PPO) H3288-010

Summary of Benefits for Aetna Medicare Plus Plan (PPO) H3288-010

____________________Spanish____________________

Detalles del plan para Aetna Medicare Plus Plan (PPO) H3288-010

Evidencia de Cobertura (Español) para Aetna Medicare Plus Plan (PPO) H3288-010

Formulario (Español) para Aetna Medicare Plus Plan (PPO) H3288-010

Resumen de Beneficios (Español) para Aetna Medicare Plus Plan (PPO) H3288-010

Subsidio de Bajos Ingresos (Español) para Aetna Medicare Plus Plan (PPO) H3288-010


Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

____________________English____________________

2020 OTC Aetna DSNP Catalog H8597-001

Summary of Benefits Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Evidence of Coverage for Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Formulary for Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Low Income Subsidy Information for Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Plan Details for Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Prior Authorization Information for Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Step Therapy Information for Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

____________________Spanish____________________

Detalles del plan para Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Evidencia de Cobertura (Español) para Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Formulario (Español) para Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Resumen de Beneficios (Español) para Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001

Subsidio de Bajos Ingresos (Español) para Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597-001


Allwell Plans

ALLWELL FIND A DOCTOR

ALLWELL DUAL MEDICARE (HMO) D-SNP H5294-002-004
Enrollment Kit for ALLWELL Dual Medicare (HMO D-SNP) H5294-002-004


ALLWELL DUAL MEDICARE (HMO) D-SNP H5294-002-004
Enrollment Kit for ALLWELL Dual Medicare (HMO D-SNP) H5294-002-004


SALES PRESENTATION

____________________English____________________

2020-ALL-AWSALESPRESENTATION-MA

____________________Spanish____________________

2020-ALL-AWSALESPRESENTATION-MA_sp


Amerigroup Plans

AMERIGROUP FIND A DOCTOR

AMERIVANTAGE CLASSIC (HMO) H2593-028

____________________English____________________

ANOC Annual Notice of Changes for H2593-028 AMERIVANTAGE CLASSIC (HMO)

Endrollment Form for H2593-028 AMERIVANTAGE CLASSIC (HMO)

EOC Evidence of Coverage for H2593-028 AMERIVANTAGE CLASSIC (HMO)

Formulary for H2593-028 AMERIVANTAGE CLASSIC (HMO)

Out of Network Drug Covg for H2593-028 AMERIVANTAGE CLASSIC (HMO)

Prior Authorization for H2593-028 AMERIVANTAGE CLASSIC (HMO)

Step Therapy for H2593-028 AMERIVANTAGE CLASSIC (HMO)

Summary of Benefits for Amerivantage Select and Classic (HMO) H2593-027


AMERIVANTAGE SELECT (HMO) H2593-027

____________________English____________________

ANOC Anual Notice of Changes for Amerivantage Select and Classic (HMO) H2593-027

EOC Evidence of Coverage for Amerivantage Select and Classic (HMO) H2593-027

Formulary List of Covered Drugs for Amerivantage Select and Classic (HMO) H2593-027

Summary of Benefits for Amerivantage Select and Classic (HMO) H2593-027

AMERIVANTAGE DUAL COORDINATION (HMO D-SNP)H2593-030-004
ANOC Anual Notice of Changes for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

Enrollment Form for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

EOC Evidence of Coverage for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

Formulary List of Covered Drugs for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

Out of Network Prescription Drug Coverage

Part D Coverage & Limitations for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

Prior Authorization for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

Req for RX Determination Form for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

Step Therapy for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

Summary of Benefits for Amerivantage Dual Coordination (HMO D-SNP) H2593-030


AMERIVANTAGE ESRD (HMO-POS C-SNP) H2593-031

____________________English____________________

ANOC Annual Notice of Changes for Amerivantage ESRD (HMO-POS C-SNP) H2593-031

Enrollment Form for Amerivantage ESRD (HMO-POS C-SNP) H2593-031

EOC Evidence of Coverage for Amerivantage ESRD (HMO-POS C-SNP) H2593-031

Summary of Benefits for Amerivantage ESRD (HMO-POS C-SNP) H2593-031


AMERIVANTAGE DUAL SECURE (HMO D-SNP)H2593-035

____________________English____________________

ANOC Annual Notice of Changes for amerivantage Dual Secure (HMO D-SNP) H2593-030

EOC Evidence of Coverage for Amerivantage Dual Secure (HMO D-SNP) H2593-035

Formulary List of Covered Drugs for Amerivantage Dual Secure (HMO D-SNP) H2593-035

Prior Authorization for Amerivantage Dual Secure (HMO D-SNP) H2593-035

Step Therapy for Amerivantage Dual Secure (HMO D-SNP) H2593-035

Summary of Benefits for Amerivantage Dual Coordination (HMO D-SNP) H2593-030

NON DISCRIMINATION NOTICE
Non Discrimination Notice for Amerigroup Anthem


Blue Cross Blue Shield Plan

BCBS FIND A DOCTOR

BCBS MEDICARE ADVANTAGE BASIC (HMO)

____________________English____________________
ANOC Annual Notice Of Changes for BCBS Med Adv Basic (HMO)

Appointment of Representative for BCBS Med Adv Basic (HMO) H8133-003

BCBS Enrollment Form for BCBS Med Adv Basic (HMO)

EOC Evidence of Coverage for BCBS Med Adv Basic (HMO)

Formulary for BCBS Med Adv Basic (HMO)

LIS Prescription Drug Cost for BCBS Med Adv Basic (HMO)

Summary of Benefits for BCBS Med Adv Basic (HMO)

____________________Spanish____________________
ANOC Aviso Anual de Cambios para BCBS Med Adv Basic (HMO) H8133-003

EOC Evidencia de Cobertura para BCBS Med Adv Basic (HMO) H8133-003

Formulario 2020 para BCBS Med Adv Basic (HMO) H8133-003

LIS Costo de Medicamentos for BCBS Med Adv Basic (HMO) H8133-003

Resumen De Beneficios para BCBS Med Adv Basic (HMO) H8133-003

BCBS Notice of Non Discrimination 2020

bcbstx_2019_ref_sheet


Cigna Healthspring Plans

CIGNA FIND A DOCTOR
Cigna Network as of 2-3-20
CIGNA 2020 Formal Event Presentation_Spanish

CIGNA 2020 Formal Event Presentation_English

Cigna-HealthSpring Preferred (HMO) H4513-025

____________________English____________________

ANOC for Cigna-HealthSpring Preferred (HMO) H4513-025

Enrollment Form for Cigna-HealthSpring Preferred (HMO) H4513-025

Evidence of Coverage for Cigna-HealthSpring Preferred (HMO) H4513-025

Formulary for Cigna-HealthSpring Preferred (HMO) H4513-025

LIS Premium Chart for Cigna-HealthSpring Preferred (HMO) H4513-025

Multi-Language Insert for Cigna-HealthSpring Preferred (HMO) H4513-025

Plan Details for Cigna-HealthSpring Preferred (HMO) H4513-025

Pre-Enrollment Checklist for Cigna-HealthSpring Preferred (HMO) H4513-025

Provider Directory for Cigna-HealthSpring Preferred (HMO) H4513-025

Cigna-HealthSpring TotalCare (HMO D-SNP) Star Rating 2020Star Rating for Cigna-HealthSpring Preferred (HMO) H4513-025

Summary of Benefits for Cigna-HealthSpring Preferred (HMO) H4513-025


Cigna-HealthSpring TotalCare (HMO D-SNP) H4513-010-000

____________________English____________________

ANOC for Cigna-HealthSpring Preferred (HMO) H4513-025

Enrollment Form for Cigna-HealthSpring Preferred (HMO) H4513-025

Evidence of Coverage for Cigna-HealthSpring Preferred (HMO) H4513-025

Formulary for Cigna-HealthSpring Preferred (HMO) H4513-025

LIS Premium Chart for Cigna-HealthSpring Preferred (HMO) H4513-025

Multi-Language Insert for Cigna-HealthSpring Preferred (HMO) H4513-025

Plan Details for Cigna-HealthSpring Preferred (HMO) H4513-025

Pre-Enrollment Checklist for Cigna-HealthSpring Preferred (HMO) H4513-025

Provider Directory for Cigna-HealthSpring Preferred (HMO) H4513-025

Star Rating for Cigna-HealthSpring Preferred (HMO) H4513-025

Summary of Benefits for Cigna-HealthSpring Preferred (HMO) H4513-025


Clover Plans

CLOVER HEALTH CLASSIC (HMO)(PLAN 008)

____________________English____________________

Comprehensive Formulary Clover

Summary of Benefits for CLOVER Health Classic HMO (Plan 008)

____________________Spanish____________________

Formulario Lista de Medicamentos Cubiertos para CLOVER Health Choice PPO (PLAN 035)

Resumen de beneficios para CLOVER Health Choice PPO (PLAN 035)


CLOVER HEALTH CHOICE (PPO)(PLAN 035)

____________________English____________________

Comprehensive Formulary Clover

Summary of Benefits for CLOVER Health Choice PPO (Plan 035)

____________________Spanish____________________

Formulario Lista de Medicamentos Cubiertos para CLOVER Health Choice PPO (PLAN 035)

Resumen de beneficios para CLOVER Health Choice PPO (PLAN 035)

CLOVER Notice of Non Discrimination

CLOVER Aviso de No Discriminacion


Humana Plans

HUMANA FIND A DOCTOR

Humana MarketPoint HMO Sales Presentation _ Click Here To Open
Humana MarketPoint HMO Spanish Sales Presentation Click Here To Open
HUMANA GOLD PLUS HMO H0028-035

____________________English____________________

HUMANA GOLD PLUS HMO H0028-035 Evidence of Coverage

HUMANA GOLD PLUS HMO H0028-035 List of covered drugs

HUMANA GOLD PLUS HMO H0028-035 Provider Directory

HUMANA GOLD PLUS HMO H0028-035 Star rating Coming soon

HUMANA GOLD PLUS HMO H0028-035 Summary of Benefits

____________________Spanish____________________

HUMANA GOLD PLUS HMO H0028-035 Evidencia de cobertura

HUMANA GOLD PLUS HMO H0028-035 Lista de medicamentos cubiertos

HUMANA GOLD PLUS HMO H0028-035 Resumen de beneficios

HUMANA GOLD PLUS HMO H0028-035 Star rating Coming soon


HUMANA GOLD PLUS SNP-DE H0028-031

____________________English____________________

HUMANA GOLD PLUS SNP-DE H0028-031 Evidence of Coverage

HUMANA GOLD PLUS SNP-DE H0028-031 Star Rating Coming Soon

HUMANA GOLD PLUS SNP-DE H0028-031 Summary of Benefits

HUMANA GOLD PLUS SNP-DE H0028-031 List of covered drugs

HUMANA GOLD PLUS SNP-DE H0028-031 Provider Directory

____________________Spanish____________________

HUMANA GOLD PLUS SNP-DE H0028-031 Evidencia de cobertura

HUMANA GOLD PLUS SNP-DE H0028-031 Resumen de beneficios


HUMANA GOLD PLUS SNP-DE H0028-034

____________________English____________________

HUMANA GOLD PLUS SNP-DE H0028-034 Evidence of Coverage

HUMANA GOLD PLUS SNP-DE H0028-034 Provider Directory

HUMANA GOLD PLUS SNP-DE H0028-034 Star rating Coming soon

HUMANA GOLD PLUS SNP-DE H0028-034 Summary of Benefits

____________________Spanish____________________

HUMANA GOLD PLUS SNP-DE H0028-034 Evidencia de cobertura

HUMANA GOLD PLUS SNP-DE H0028-034 Resumen de beneficios

HUMANA GOLD PLUS SNP-DE H0028-034 Star rating Coming soon


HumanaChoice PPO R4182-001
Humana MarketPoint PPO Sales Presentation _ Click Here to Open

____________________English____________________

HumanaChoice PPO R4182-001 Evidence of Coverage

HumanaChoice PPO R4182-001 MyOption Fitness

HumanaChoice PPO R4182-001 Summary of Benefits

____________________Spanish____________________
Humana MarketPoint PPO Spanish Sales Presentation _ Click Here to Open

HumanaChoice PPO R4182-001 Summary of Benefits Spanish


HumanaChoice PPO H5216-128

____________________English____________________

HumanaChoice PPO H5216-128 Evidence of Coverage

HumanaChoice PPO H5216-128 Provider Directory 2020

HumanaChoice PPO H5216-128 Summary of Benefits

____________________Spanish____________________

HumanaChoice PPO H5216-128 Summary of Benefits Spanish


HumanaChoice PPO H5216-043-001

____________________English____________________

HumanaChoice PPO H5216-043 Provider Directory 2019

HumanaChoice PPO H5216-043 Prescription Drug Guide

HumanaChoice PPO H5216-043 Evidence of Coverage

HumanaChoice PPO H5216-043 Summary of Benefits

____________________Spanish____________________

HumanaChoice PPO H5216-043 Summary of Benefits (Spanish)

HumanaChoice PPO H5216-043 Evidence of Coverage (Spanish)

HumanaChoice PPO H5216-043 Prescription Drug Guide (Spanish)


HumanaChoice PPO PPO R4182-004

____________________English____________________
9-MyOption_FitnessWB_2020

1-Dental_High_PPO_2020

HumanaChoice PPO R4182-004 EOC

HumanaChoice PPO R4182-004 SOB

____________________Spanish____________________
HumanaChoice PPO R4182-004 Evidencia de cobertura

HumanaChoice PPO R4182-004 Resumen de beneficios

Guía de Medicamentos Recetados


HumanaChoice PPO PPO R4182-001

____________________English____________________

HumanaChoice PPO R4182-001 Evidence of Coverage

HumanaChoice PPO R4182-001 Provider Directory

HumanaChoice PPO R4182-001 Summary of Benefits

____________________Spanish____________________

HumanaChoice PPO R4182-001Resumen de beneficios


Imperial Health Plan

IMPERIAL FIND A DOCTOR

003 Imperial Health Insurance Traditional (HMO) Evidence of Coverage
003 Imperial Health Insurance Traditional (HMO) Evidence of Coverage

004 Imperial Health Insurance Dual (HMO D-SNP)?? Evidence of Coverage
004 Imperial Health Insurance Dual (HMO D-SNP)?? Evidence of Coverage

005 Imperial Health Insurance Value (HMO C-SNP) Evidence of Coverage
005 Imperial Health Insurance Value (HMO C-SNP) Evidence of Coverage


MUTUAL OF OMAHA

MoO FIND A DOCTOR

MoOMAHA CAREADVANTAGE COMPLETE (HMO)

1. Pre-Enrollment Checklist for MoOMAHA CareAdvantage Complete (HMO)

2. Summary of Benefits for MoOMAHA CareAdvantage Complete (HMO)

3. EOC Evidence of Coverage for MoOMAHA CareAdvantage Complete (HMO)

4. Prescription Drug Formulary for MoOMAHA CareAdvantage Complete (HMO)

5. Provider-Pharmacy Directory for MoOMAHA CareAdvantage Complete (HMO)

MoOMAHA Non-Discrimination Notice 2020


Silver Scripts Plans

SilverScript Choice (PDP) S5601-044

____________________English____________________
Evidence of Coverage for SilverScript Choice (PDP) S5601-044

Formulary for SilverScript Choice (PDP) S5601-044

Low Income Subsidy Information for SilverScript Choice (PDP) S5601-044

Plan Details for SilverScript Choice (PDP) S5601-044

Prior Authorization Information for SilverScript Choice (PDP) S5601-044

Step Therapy Information for SilverScript Choice (PDP) S5601-044

Summary of Benefits for SilverScript Choice (PDP) S5601-044

____________________Spanish____________________

Detalles del plan para SilverScript Choice (PDP) S5601-044

Evidencia de Cobertura (Español) para SilverScript Choice (PDP) S5601-044

Formulario (Español) para SilverScript Choice (PDP) S5601-044

Resumen de Beneficios (Español) para SilverScript Choice (PDP) S5601-044

Subsidio de Bajos Ingresos (Español) para SilverScript Choice (PDP) S5601-044


SilverScript Plus (PDP) S5601-045

____________________English____________________

Evidence of Coverage for SilverScript Plus (PDP) S5601-045

Formulary for SilverScript Plus (PDP) S5601-045

Low Income Subsidy Information for SilverScript Plus (PDP) S5601-045

Plan Details for SilverScript Plus (PDP) S5601-045

Prior Authorization Information for SilverScript Plus (PDP) S5601-045

Step Therapy Information for SilverScript Plus (PDP) S5601-045

Summary of Benefits for SilverScript Plus (PDP) S5601-045

____________________Spanish____________________

Detalles del plan para SilverScript Plus (PDP) S5601-045

Evidencia de Cobertura (Español) para SilverScript Plus (PDP) S5601-045

Formulario (Español) para SilverScript Plus (PDP) S5601-045

Resumen de Beneficios (Español) para SilverScript Plus (PDP) S5601-045

Subsidio de Bajos Ingresos (Español) para SilverScript Plus (PDP) S5601-045


Wellcare Plans

WellCare Prime (PPO) H7323-004-000

2020 MAPD Enrollment Form for WellCare PRIME (PPO) H7323-004-000

2020 PPO_ El Paso Provider and Pharmacy

Comprehensive Formulary for WellCare PRIME (PPO) H7323-004-000

Summary of Benefits for WellCare PRIME (PPO) H7323-004-000


WellCare TexanPlus Classic (HMO) H0174-003-000
WellCare TexanPlus Classic (HMO) H0174-003-000 Enrollment 2020 MAPD APP

WellCare TexanPlus Classic (HMO) H0174-003-000 Star Rating

WellCare TexanPlus Classic (HMO) H0174-003-000 Formulary

WellCare TexanPlus Classic (HMO) H0174-003-000 Summary_of_Benefits_Book


WellCare Dividend Prime (HMO) H0174-007-000
WellCare Dividend Prime (HMO) H0174-007-000 Enrollment Form

WellCare Dividend Prime (HMO) H0174-007-000 Formulary

WellCare Dividend Prime (HMO) H0174-007-000 Star Rating

WellCare Dividend Prime (HMO) H0174-007-000 Summary_of_Benefits_Book


WellCare Value (HMO-POS) H0174-005-000

WellCare Value (HMO-POS) H0174-005-000 Enrollment Form

WellCare Value (HMO-POS) H0174-005-000 Star Rating

WellCare Value (HMO-POS) H0174-005-000 Formulary

WellCare Value (HMO-POS) H0174-005-000 Summary_of_Benefits_Book



2019 El Paso, TX Plans


AARP PLANS

AARP Medicare Complete Choice (PPO)

  1. AARP MedicareComplete Choice (PPO) Details
  2. Alternative Drugs List (PDF)
  3. Annual Notice of Changes (ANOC) (PDF)
  4. Comprehensive Formulary (PDF)
  5. Enrollment Form (PDF)
  6. EOC AARP MedicareComplete Choice (PPO)
  7. PCP Lookup
  8. Pharmacy Directory Information (PDF)
  9. Prior Authorization Criteria (PDF)
  10. Provider Directory (PDF)
  11. SOB AARP MedicareComplete Choice (PPO)
  12. Star Ratings (PDF)
  13. Step Therapy Criteria (PDF)
  14. UnitedHealth Passport Program (PDF)
  15. Vendor Information Sheet (PDF)

AARP MedicareRx Saver Plus (PDP)

  1. AARP MedicareRx Saver Plus (PDP) Step_Therapy_PSAVE_2019
  2. AARP MedicareRx Saver Plus (PDP) Star Rating
  3. AARP MedicareRx Saver Plus (PDP) SOB
  4. AARP MedicareRx Saver Plus (PDP) EOC
  5. AARP MedicareRx Saver Plus (PDP) Prior_Auth_PSAVE_2019
  6. AARP MedicareRx Saver Plus (PDP) PHARM DIRECTORY
  7. AARP MedicareRx Saver Plus (PDP) COMP FORMULARY
  8. AARP MedicareRx Saver Plus (PDP) ANOC
  9. AARP MedicareRx Saver Plus (PDP) ALT DRUG LIST
  10. AARP MedicareRx Preferred (PDP) Step_Therapy_PPREF_2019

AARP MedicareRx Preferred (PDP)

  1. AARP MedicareRx Preferred (PDP) Alt Drug List
  2. AARP MedicareRx Preferred (PDP) ANOC
  3. AARP MedicareRx Preferred (PDP) Comp Formulary
  4. AARP MedicareRx Preferred (PDP) Enrollment Req Form
  5. AARP MedicareRx Preferred (PDP) EOC
  6. AARP MedicareRx Preferred (PDP) Prior_Auth_PPREF_2019
  7. AARP MedicareRx Preferred (PDP) SOB
  8. AARP MedicareRx Preferred (PDP) Star Rating
  9. AARP MedicareRx Saver Plus (PDP) Enrollment Req Form

AARP MedicareRx Saver Plus (PDP)

  1. AARP MedicareRx Walgreens (PDP) ANOC
  2. AARP MedicareRx Walgreens (PDP) EOC
  3. AARP MedicareRx Walgreens (PDP) Fomulary
  4. AARP MedicareRx Walgreens (PDP) SOB
  5. AARP MedicareRx Walgreens (PDP) Star Rating
  6. AARP MedicareRx Walgreens (PDP)
  7. Pharm Directory
  8. Prior_Auth_PWAG_2019
  9. Step_Therapy_PWAG_2019

Aetna Medicare Choice Plan (PPO) H5521-107

  1. Plan Details for Aetna Medicare Choice Plan (PPO) H5521-107
  2. SoB_2019_H5521_107_EN
  3. SoB(spanish)_2019_H5521_107_SP
  4. Formulary_2019_19071AETGC_B2_EN
  5. Formulary(spanish)_2019_19071AETGC_B2_SP
  6. Prior Authorization Information
  7. Step Therapy Information
  8. OC_2019_H5521_107_EN
  9. EOC(spanish)_2019_H5521_107_SP
  10. LIS_2019_H5521_107_EN
  11. LIS(spanish)_2019_H5521_107_SP
  12. STAR Rating_2019_H5521_000_EN
  13. STAR Rating(Spanish)_2019_H5521_000_SP
  14. Pre-enrollment checklist
  15. Pre-enrollment checklist(Spanish)

AETNA PLANS

Online Provider Search Job Aid

Aetna Medicare Choice Plan (PPO) H5521-107

  1. Plan Details for Aetna Medicare Choice Plan (PPO) H5521-107
  2. SoB_2019_H5521_107_EN
  3. SoB(spanish)_2019_H5521_107_SP
  4. Formulary_2019_19071AETGC_B2_EN
  5. Formulary(spanish)_2019_19071AETGC_B2_SP
  6. Prior Authorization Information
  7. Step Therapy Information
  8. EOC_2019_H5521_107_EN
  9. EOC(spanish)_2019_H5521_107_SP
  10. LIS_2019_H5521_107_EN
  11. LIS(spanish)_2019_H5521_107_SP
  12. STAR Rating_2019_H5521_000_EN
  13. STAR Rating(Spanish)_2019_H5521_000_SP
  14. Pre-enrollment checklist
  15. Pre-enrollment checklist(Spanish)

Aetna Medicare Plus Plan (PPO) H5521-146

  1. Plan Details for Aetna Medicare Plus Plan (PPO) H5521-146
  2. SoB_2019_H5521_146_EN
  3. SoB(spanish) _2019_H5521_146_SP
  4. Formulary_2019_19071AETGC_B2_EN
  5. Formulary(spanish)_2019_19071AETGC_B2_SP
  6. Prior Authorization Info
  7. Step Therapy Info
  8. EOC_2019_H5521_146_EN
  9. EOC(spanish)_2019_H5521_146_SP
  10. LIS_2019_H5521_146_EN
  11. LIS(spanish)_2019_H5521_146_SP
  12. STAR Rating_2019_H5521_000_EN
  13. STAR Rating(spanish)_2019_H5521_000_SP
  14.  Pre-enrollment checklist
  15. Pre-enrollment checklist(Spanish)

Aetna Prescription Drug plans


Aetna Medicare Rx Saver (PDP) S5810-056

0 Plan Details for Aetna Medicare Rx Saver (PDP) S5810-056

1 SoB_2019_S5810_056_EN

2 SoB(Spanish) _2019_S5810_056_SP

3 Formulary

4 Formulary (Spnaish)

5 Prior Authorization Information

6 Step Therapy Information

7 EOC_2019_S5810_056_EN

8 EOC(Spanish)_2019_S5810_056_SP

9 LIS_2019_S5810_056_EN

10 LIS(Spanish)_2019_S5810_056_SP

11 STAR Rating_2019_S5810_000_EN

12 STAR Rating(Spanish)_2019_S5810_000_SP

13 Pre-Enrollment Checklist

14 Pre-Enrollment Checklist (Spanish)


Aetna Medicare Rx Select (PDP) S5810-293

  1. Plan Details for Aetna Medicare Rx Select (PDP) S5810-293
  2. SoB_2019_S5810_293_EN
  3. SoB(Spanish)_2019_S5810_293_SP
  4. Formulary
  5. Formulary(Spanish)
  6. Prior Authorization Information
  7. Step Therapy Information
  8. EOC_2019_S5810_293_EN
  9. EOC(Spanish)_2019_S5810_293_SP
  10. LIS_2019_S5810_293_EN
  11. LIS(Spanish)_2019_S5810_293_SP
  12. STAR Rating_2019_S5810_000_EN
  13. STAR Rating(Spanish)_2019_S5810_000_SP
  14. Pre-enrollment checklist
  15. Pre-enrollment checklist (Spanish)

Aetna Medicare Rx Value Plus (PDP) S5768-145

  1. Plan Details for Aetna Medicare Rx Select (PDP) S5810-293
  2. SoB_2019_S5810_293_EN
  3. SoB(Spanish)_2019_S5810_293_SP
  4. Formulary
  5. Formulary(Spanish)
  6. Prior Authorization Information
  7. Step Therapy Information
  8. EOC_2019_S5810_293_EN
  9. EOC(Spanish)_2019_S5810_293_SP
  10. LIS_2019_S5810_293_EN
  11. LIS(Spanish)_2019_S5810_293_SP
  12. STAR Rating_2019_S5810_000_EN
  13. STAR Rating(Spanish)_2019_S5810_000_SP
  14. Pre-enrollment checklist
  15. Pre-enrollment checklist (Spanish)

Amerigroup Plans

Amerivantage Classic (HMO)

______________________English______________________________

  1. Notice of Non-Discrimination in Health Programs and Activities
  2. Summary of Benefits
  3. Star Ratings
  4. Evidence of Coverage
  5. Annual Notice of Changes
  6. 2019 Coverage of Diabetic Supplies
  7. Enrollment Application
  8. Comprehensive Formulary
  9. Prior Authorization
  10. Step Therapy
  11. Part D Conditions and Limitations
  12. Out of Network Prescription Drug Coverage
  13. Quality Assurance
  14. Low Income Subsidy (LIS) Premium Summary Table
  15. Prescription Drug Claim Form
  16. Prescription Drug Home Delivery Order Form
  17. Medicare Prescription Drug Coverage Determination Request Form
  18. Disenrollment Form

_________________________Spanish_______________________

  1. Aviso de no discriminación en actividades y programas de salud
  2. Resumen de beneficios (Not Avl in Spanish)
  3. Start Rating (Not Avl in Spanish)
  4. Prueba de cobertura
  5. Aviso anual de cambios
  6. Cobertura de suministros para la diabetes para 2019
  7. Solicitud de inscripción
  8. Formulario integral 2019
  9. Autorización previa
  10. Terapia escalonada
  11. Condiciones y limitaciones de la Parte D
  12. Cobertura para medicamentos recetados fuera de la red
  13. Control de calidad
  14. Tabla de resumen de las primas con subsidio por bajos ingresos (LIS, por sus siglas en inglés)
  15. Formulario de reclamación de medicamentos recetados
  16. Formulario de pedido de medicamentos recetados con entrega a domicilio
  17. Formulario de solicitud de determinación de cobertura para medicamentos recetados de Medicare
  18. Formulario de desafiliación

Amerivantage Dual Coordination (HMO SNP)

____________________English____________________________

  1. Summary of Benefits
  2. Evidence of Coverage
  3. Annual Notice of Changes
  4. 2019 diabetes supply OLS_006 AGP
  5. Enrollment Application
  6. 2019 Comprehensive Formulary
  7. Prior Authorization
  8. Step Therapy
  9. Part D Conditions and Limitations
  10. Out of Network Prescription Drug Coverage
  11. 2019 Quality Assurance_006 AGP
  12. Low Income Subsidy (LIS) Premium Summary Table
  13. Prescription Drug Claim Form
  14. Prescription Drug Home Delivery Order Form
  15. Medicare Prescription Drug Coverage Determination Request Form
  16. Disenrollment Form
  17. Star Rating
  18. Non Discrimination Notice

_________________________Spanish_______________________

  1. Resumen de beneficios
  2. Prueba de cobertura
  3. Aviso anual de cambios
  4. Cobertura de suministros para la diabetes para 2019
  5. Solicitud de inscripción
  6. Formulario integral 2019
  7. Autorización previa
  8. Terapia escalonada
  9. Condiciones y limitaciones de la Parte D
  10. Cobertura para medicamentos recetados fuera de la red
  11. Control de calidad
  12. Tabla de resumen de las primas con subsidio por bajos ingresos (LIS, por sus siglas en inglés)
  13. Formulario de reclamación de medicamentos recetados
  14. Formulario de pedido de medicamentos recetados con entrega a domicilio
  15. Formulario de solicitud de determinación de cobertura para medicamentos recetados de Medicare
  16. Formulario de desafiliación
  17. Resumen de beneficios
  18. Solicitud de inscripción
  19. Calificaciones por estrellas

Amerivantage Select (HMO)

______________________English______________________________

  1. Notice of Non-Discrimination in Health Programs and Activities
  2. Star Rating
  3. Summary of Benefits
  4. Evidence of Coverage
  5. Annual Notice of Changes
  6. 2019 Coverage of Diabetic Supplies
  7. Enrollment Application
  8. 2019 Comprehensive Formulary
  9. Prior Authorization
  10. Step Therapy
  11. Part D Conditions and Limitations
  12. Out of Network Prescription Drug Coverage
  13. Quality Assurance
  14. Low Income Subsidy (LIS) Premium Summary Table
  15. Prescription Drug Claim Form
  16. Prescription Drug Home Delivery Order Form
  17.  Medicare Prescription Drug Coverage Determination Request Form
  18. Disenrollment Form
  19. 2019 Select HMO Directory

_________________________Spanish_______________________

  1. Resumen de beneficios (Not avl in spanish)
  2. Star Rating (Not Avl in Spanish)
  3. Prueba de cobertura
  4. Aviso anual de cambios
  5. Cobertura de suministros para la diabetes para 2019
  6. Solicitud de inscripción
  7. Formulario integral 2019
  8. Autorización previa
  9. Terapia escalonada
  10. Condiciones y limitaciones de la Parte D
  11. Cobertura para medicamentos recetados fuera de la red
  12. Control de calidad
  13. target="_blank"Tabla de resumen de las primas con subsidio por bajos ingresos (LIS, por sus siglas en inglés)
  14. Formulario de reclamación de medicamentos recetados
  15. Formulario de pedido de medicamentos recetados con entrega a domicilio
  16. Formulario de solicitud de determinación de cobertura para medicamentos recetados de Medicare
  17. Formulario de desafiliación

Amerivantage Dual Secure (HMO SNP)

______________________English______________________________

  1. Notice of Non-Discrimination in Health Programs and Activities
  2. Summary of Benefits
  3. Evidence of Coverage_Y0114_19_35821_U_C_246
  4. 2019 diabetes supply OLS_006 AGP_rev
  5. Enrollment Instructions
  6. Enrollment Application
  7. 2019 Comprehensive Formulary
  8. Prior Authorization
  9. Step Therapy
  10. Part D Conditions and Limitations
  11. 2019 Out of Network Prescription Drug Coverage 006 AGP_wcag
  12. Quality Assurance
  13. Prescription Drug Transition Policy
  14. Medication Therapy Management Information
  15. Low Income Subsidy (LIS) Premium Summary Table
  16. Drug_Claim_Form
  17. Prescription Drug Home Delivery Order Form
  18. Medicare Prescription Drug Coverage Determination Request Form
  19. Redetermination (Appeal) of Medicare Prescription Drug Denial Request Form
  20. Disenrollment Form
  21. Information about the Medicare Contract
  22. Start Rating

_________________________Spanish_______________________

  1. Resumen de beneficios
  2. Prueba de cobertura
  3. Cobertura de suministros para la diabetes para 2019
  4. Solicitud de inscripción
  5. Formulario integral 2019
  6. Autorización previa
  7. Terapia escalonada
  8. Condiciones y limitaciones de la Parte D
  9. Cobertura para medicamentos recetados fuera de la red
  10. Control de calidad
  11. Tabla de resumen de las primas con subsidio por bajos ingresos (LIS, por sus siglas en inglés)
  12. Formulario de reclamación de medicamentos recetados
  13. Formulario de pedido de medicamentos recetados con entrega a domicilio
  14. Formulario de solicitud de determinación de cobertura para medicamentos recetados de Medicare
  15. Formulario de desafiliación
  16. Star Rating (Not Avail in Spanish)

Amerivantage ESRD (HMO-POS SNP)

______________________English______________________________

  1. Notice of Non-Discrimination in Health Programs and Activities
  2. Summary of Benefits
  3. Evidence of Coverage
  4. 2019 Coverage of Diabetic Supplies
  5. Enrollment Application
  6. 2019 Comprehensive Formulary
  7. Prior Authorization
  8. Step Therapy
  9. Part D Conditions and Limitations
  10. Out of Network Prescription Drug Coverage
  11. Quality Assurance
  12. Low Income Subsidy (LIS) Premium Summary Table
  13. Prescription Drug Claim Form
  14. Medicare Prescription Drug Coverage Determination Request Form
  15. Disenrollment Form
  16. Star Rating

_________________________Spanish_______________________

  1. Aviso de no discriminación en actividades y programas de salud
  2. Resumen de beneficios
  3. Prueba de cobertura
  4. Cobertura de suministros para la diabetes para 2019
  5. Solicitud de inscripción
  6. Formulario integral 2019
  7.  Autorización previa
  8. Terapia escalonada
  9. Condiciones y limitaciones de la Parte D
  10. Cobertura para medicamentos recetados fuera de la red
  11. Control de calidad
  12. Tabla de resumen de las primas con subsidio por bajos ingresos (LIS, por sus siglas en inglés)
  13. Formulario de reclamación de medicamentos recetados
  14. Formulario de pedido de medicamentos recetados con entrega a domicilio
  15. Formulario de solicitud de determinación de cobertura para medicamentos recetados de Medicare
  16. Formulario de desafiliación
  17. Star Rating (Not avail in Spanish)

Cigna Healthspring Plans

2018 Scope of Appointment Form

2018Rules of Engagement

eAgent User Guide - Agent

eEnrollment User Guide

HAAL Guide OrderSalesKitTool

Sales Presentation Checklist

Scope of Appointment Resource


Cigna-HealthSpring Preferred (HMO)

  1. formulary-ea-mapd
  2. SUMMARY OF BENEFITS h4513-025-000-cigna-healthspring-preferred-hmo-sb
  3. EVIDENCE OF COVERAGE h4513-025-cigna-healthspring-preferred-hmo-eoc
  4. multi-language-insert-ma
  5. Overview
  6. pre-enrollment-checklist-hmo-chs
  7. starrating-h4513

Cigna-HealthSpring TotalCare (HMO-SNP)

  1. formulary-ds
  2. SUMMARY OF BENEFITS h4513-010-000-cigna-healthspring-totalcare-hmo-snp-sb
  3. EVIDENCE OF COVERAGE h4513-010-cigna-healthspring-totalcare-hmo-eoc
  4. multi-language-insert-ma
  5. Overview
  6. pre-enrollment-checklist-dsnp-chs
  7. starrating-h4513

Cigna-HealthSpring Rx Plans


Cigna-HealthSpring Rx Secure (PDP)

Overview

Cigna-HealthSpring Rx Secure-Essential (PDP)

Overview

Cigna-HealthSpring Rx Secure-Extra (PDP)

Overview


Clover Plans

Clover_2019_provider_directory_tx_c

Clover Health Choice Value (PPO) 2019

  1. Clover Health Choice Value (PPO) 2019

Clover Health Classic (HMO) 2019

  1. Clover Health Classic (HMO) 2019

Humana Plans

HumanaChoice PPO R4182-004

  1. Overview HumanaChoice PPO R4182-004
  2. MyOption Dental High PPO
  3. MyOption_FitnessWB_2019
  4. SOB R4182004000SB19
  5. SOB Spanish R4182004000SBSP19
  6. EOC R4182004000EOC19
  7. EOC Spanish R4182004000EOCSP19
  8. Star Rating R4182GHA09ECHH19
  9. Star Rating Spanish R4182GHA09ECHH19RS
  10. Formulary
  11. Formulary Spanish
  12. Provider Directory

Humana Gold Plus HMO H0028-035

  1. Overview HMO H0028-035
  2. MyOption Enhanced Dental_Plus_HMO2019
  3. SOB HMO H0028-035
  4. SOB Spanish HMO H0028-035
  5. EOC HMO H0028-035
  6. EOC Spanish HMO H0028-035
  7. Star Rating H0028-035
  8. Star Rating(Spanish) H0028-035
  9. Formulary H0028-035
  10. Formulary Spanish H0028-035
  11. PROVIDER DIRECTORY

Humana Gold Plus SNP-DE HMO H0028-034

  1. Overview HMO H0028-034
  2. SOB HMO H0028-034
  3. SOB Spanish HMO H0028-034
  4. EOC HMO H0028-034
  5. EOC Spanish HMO H0028-034
  6. Star Rating H0028GHA09ECHH19
  7. Star Rating(Spanish)H0028GHA09ECHH19RS
  8. Formulary HMO H0028-034
  9. Formulary Spanish HMO H0028-034
  10. Provider Directory

Humana Gold Plus SNP-DE HMO H0028-031

  1. Overview HMO H0028-031
  2. SOB H0028031000SB19
  3. SOB Spanish H0028031000SBSP19
  4. EOC H0028031000EOC19
  5. EOC Spanish H0028031000EOCSP19
  6. Star Rating Humana Choice PPO R4182-001
  7. Star Rating(Spanish) Humana Choice PPO R4182-001
  8. Formulary HMO H0028-031
  9. Spanish Formulary HMO H0028-031
  10. Provider Directory

HumanaChoice PPO PPO R4182-001

  1. Overview HumanaChoice PPO R4182-001
  2. MyOption_FitnessWB_2019
  3. SOB HumanaChoice PPO R4182-001
  4.  SOB Spanish HumanaChoice PPO R4182-001
  5. EOC HumanaChoice PPO R4182-001
  6. EOC Spanish HumanaChoice PPO R4182-001
  7. Star Rating Humana Choice PPO R4182-001
  8. Star Rating (Spanish) Humana Choice PPO R4182-001
  9. Formulary HumanaChoice PPO
  10. Formulary Spanish HumanaChoice PPO
  11. Provider Directory

HumanaChoice PPO PPO H5216-128

  1. Overview HumanaChoice PPO H5216-128
  2. MyOption Dental High PPO
  3. SOB H5216128000SB19
  4. SOB Spanish H5216128000SBSP19
  5. EOC H5216128000EOC19
  6. EOC Spanish H5216128000EOCSP19
  7. Star Rating H5216GHA09ECHH19
  8. Star Rating Spanish H5216GHA09ECHH19RS
  9. Provider Directory No Rx Coverage

HumanaChoice PPO PPO H5216-043-001

  1. Overview HumanaChoice PPO H5216-043-001
  2. SOB H5216043001SB19
  3. SOB Spanish H5216043001SBSP19
  4. EOC H5216043001EOC19
  5. EOC Spanish H5216043001EOCSP19
  6. Star Rating H5216GHA09ECHH19
  7. Star Rating Spanish H5216GHA09ECHH19RS
  8. Formulary
  9. Formulary (Spanish)
  10. Provider Directory

HumanaChoice PPO PPO R4182-003

  1. Overview HumanaChoice PPO R4182-003
  2. MyOption_FitnessWB_2019
  3. SOB R4182003000SB19
  4. SOB Spanish R4182003000SBSP19
  5. EOC R4182003000EOC19
  6. EOC Spanish R4182003000EOCSP19
  7. Star Rating R4182GHA09ECHH19
  8. Star Rating(Spanish) R4182GHA09ECHH19
  9. Provider Directory

Humana Rx Plans

Humana Preferred Rx Plan PDP S5884-143

  1. Plan Overview
  2. SOB S5884143000SB19
  3. Resumen de beneficios S5884143000SBSP19
  4. Evidence of Coverage S5884143000EOC19
  5. Evidencia de cobertura S5884143000EOCSP19
  6. Medicare Star Rating
  7. Calificaciones por estrellas Medicare

Humana Enhanced PDP S5884-020

  1. Plan Overview Humana Enhanced PDP
  2. Summary of Benefits S5884020000SB19
  3. Resumen de beneficios S5884020000SBSP19
  4.  Evidence of Coverage S5884020000EOC19
  5. Calificaciones por estrellas Medicare
  6. Evidencia de cobertura S5884020000EOCSP19
  7. Medicare Star Ratings
  8. Calificaciones por estrellas Medicare S5884GHA09ECHH19RS

Humana Walmart Rx Plan PDP S5884-168

  1. Plan Overview Humana Walmart Rx Plan PDP
  2. Summary of Benefits S5884168000SB19
  3. Resumen de beneficios S5884168000SBSP19
  4. Evidence of Coverage S5884168000EOC19
  5. Evidencia de cobertura S5884168000EOCSP19
  6. Medicare Star Ratings
  7. Calificaciones por estrellas Medicare

Imperial Plans

Imperial Enrollment Application

BLANK IMPERIAL DIRECT FAX

2019 Over-the-Counter Benefit and Order Form

Benefit-Highlights-2019

Dual (HMO SNP) PBP 004

  1. Summary of Benefits (HMO) PBP 004-TX-SB-2019_M-ENG-Accepted-09.11.18
  2. Resumen de beneficios (HMO) PBP 004-Spanish-TX-SB-2019_M-SP-Alternate-Format-09.13.18
  3. Evidence of Coverage-Dual-HMO-SNP-2019_M-ENG_NM-09.26.18-1
  4. Evidencia de cobertura-Dual-HMO-SNP-2019_M-SP-Alternate-Format-10.03.18-2
  5. Dental-Benefit-(HMO) PBP 004-TX-Dental-Benefit-Dir-2019_M-ENG-Approved-09.12.18

Traditional (HMO) PBP 003

  1. Summary of Benefits (HMO) PBP 003-TX-SB-2019_M-ENG-Accepted-09.11.18
  2. Spanish Summary of Benefits (HMO) PBP 003-Spanish -TX-SB-2019_M-SP-Alternate-Format-09.13.18
  3. Evidence of Coverage (HMO) PBP 003-TX-EOC-Traditional-HMO-2019_M-ENG_NM-09.13.18
  4. Evidencia de cobertura-Traditional-HMO-2019_M-SP-Alternate-Format-10.03.18
  5. Dental-Benefit (HMO) PBP 003-TX-Dental-Benefit-Dir-2019_M-ENG-Approved-09.12.18
  6. Beneficios Dentales-2019_M-SP-Alternate-Format-09.27.18

Value (HMO SNP) PBP 005

  1. Summary of Benefits (HMO) PBP 005-TX-SB-2019_M-ENG-Accepted-09.11.18
  2. Resumen de beneficios(HMO) PBP 005-Spanish-TX-SB-2019_M-SP-Alternate-Format-09.13.18
  3. Evidence of Coverage (HMO) PBP 005-TX-EOC-Value-HMO-SNP-2019_M-ENG_NM-09.13.18
  4. Imperial Insurance Company of Texas (HMO SNP) Pre-Enrollment
  5. Herramienta de evaluación para la calificación IR_033-TX-CSNP-Assessment_C-SP-10.03.18
  6. (HMO) PBP 005-TX-Dental-Benefit-Dir-2019_M-ENG-Approved-09.12.18

United Healthcare Plans

UnitedHealthcare Dual Complete® Choice (Regional PPO SNP) R6801-011

  1. Annual Notice of Changes -R6801-011-EN
  2. Annual Notice of Changes -R6801-011-SPANISH
  3. Enrollment Application -R6801-011-EN
  4. Enrollment Application-R6801-011-SPANISH
  5. Enrollment Kit -R6801-011-EN
  6. Enrollment Kit -R6801-011-SPANISH
  7. Evidence of Coverage -R6801-011-EN
  8. Evidence of Coverage -R6801-011-SPANISH
  9. Formulary-R6801-011-EN
  10. Formulary-R6801-011-SPANISH
  11. Provider Directory -seleccionados-R6801-011-PD-ES
  12. Provider Directory -SelectCounties-R6801-011-PD-EN
  13. STAR Rating-R6801-011-EN
  14. STAR Rating-R6801-011-SPANISH
  15. Summary of Benefits -R6801-011-EN
  16. Summary of Benefits -R6801-011-SPANISH
  17. Vendor Information -R6801-011-EN
  18. Vendor Information -R6801-011-SPANISH

UnitedHealthcare Dual Complete® Focus (HMO SNP) H4527-006

  1. Annual Notice of Changes -H4527-006-EN
  2. Annual Notice of Changes -H4527-006-SPANISH
  3. Enrollment Application -H4527-006-EN
  4. Enrollment Application -H4527-006-ES
  5. Enrollment Kit -H4527-006-EN
  6. Enrollment Kit -H4527-006-ES
  7. Evidence of Coverage -H4527-006-EN
  8. Evidence of Coverage -H4527-006-ES
  9. Formulary-H4527-006-EN
  10. Formulary-H4527-006-ES
  11. Medicare Plan Star Ratings -H4527-006-EN
  12. Medicare Plan Star Ratings -H4527-006-SPANISH
  13. Provider Directory -CondadodeElPaso-H4527-006-PD-ES
  14. Provider Directory -ElPaso-H4527-006-PD-EN
  15. Summary of Benefits -H4527-006-EN
  16. Summary of Benefits -H4527-006-SPANISH
  17. Vendor Information -H4527-006-EN
  18. Vendor Information-H4527-006-SPANISH

UnitedHealthcare Dual Complete® (PPO SNP) H2228-041

  1. ANOC-H2228-041-EN
  2. ANOC-H2228-041-Spanish
  3. ENROLLMENT APP-H2228-041-EN
  4. ENROLLMENT APP-H2228-041-Spanish
  5. Enrollment Kit-H2228-041-EN
  6. Enrollment Kit-H2228-041-Spanish
  7. EOC-H2228-041-EN
  8. EOC-H2228-041-Spanish
  9. Formulary-H2228-041-EN
  10. Formulary-H2228-041-Spanish
  11. Provider Directory-ElPaso-H2228-041
  12. Provider Directory-ElPaso-H2228-041-Spanish
  13. SOB-H2228-041-EN
  14. SOB-H2228-041-Spanish
  15. STAR Rating-H2228-041-EN
  16. STAR Rating-H2228-041-Spanish
  17. VendorInfo-H2228-041-EN
  18. VendorInfo-H2228-041-Spanish

WellCare Plans

WellCare TexanPlus Classic (HMO)

  1. Plan Details for Wellcare TaxanPlus Classic (HMO)
  2. SoB TX_CARE_TexanPlus_Classic_003_16320_Summary_of_Benefits_ENG_2019_R
  3. SoB Spanish TX_CARE_TexanPlus_Classic_003_17566_Summary_of_Benefits_SPA_2019_R
  4. EoC TX_CARE_TexanPlus_Classic_003_17755_EOC_ENG_2019
  5. 2019 WellCare TexanPlus Classic (HMO) Star Rating
  6. Formulary NA9WCMFOR16617E_CV05
  7. Enrollment_Application_ENG_2019
  8. Spanish NA_CARE_Enrollment_Application_SPA_2019_R
  9. tx_ccp_EFT_Form_2010
  10. Medical_Reimbursement_Claim_Form_ENG_8_2018_R
  11. Spanish NA_CARE_Medical_Reimbursement_Claim_Form_SPA_9__2018
  12. OTC_reimbursementform_eng_2016_R
  13. TX_CARE_TexanPlus_LPO_Provider_Directory_18235_ENG_10_2018
  14. Member attestation_form_04_2013
  15. Appointment_rep_eng_2012
  16. Hipaa_release_information_eng_2015
  17. Hipaa_release_information_spa_2015
  18. Hipaa_release_revocation_form_eng_2015
  19. Hipaa_release_revocation_form_spa_2015

WellCare Value (HMO-POS)

  1. Plan Details for WellCare Value (HMO-POS)
  2. Summary_of_Benefits_ENG_2019_R
  3. Summary_of_Benefits_SPANISH_2019_R
  4. EOC_ENG_2019 5 Star_Ratings_H0174_ENG_2019_R
  5. EFT_Form_2010
  6. Enrollment_Application_ENG_2019
  7. Enrollment_Application_SPANISH_2019_R
  8. Direct_Member_Reimbursement_Form_ENG
  9. Medical_Reimbursement_Claim_Form_SPAN
  10. OTC_reimbursementform_eng
  11. EOB_sample_english
  12. EOB_sample_spanish
  13. Member_Appointment_of_Representative_ENG
  14. Member attestation_form
  15.  HIPPA_release_information_eng
  16. HIPPA_release_information_span
  17. HIPPA_release_revocation_form_eng
  18. HIPPA_release_revocation_form_span
  19. 2019 Comprehensive Formulary

WellCare Dividend Prime (HMO)

  1. Plan Details for WellCare Dividend Prime (HMO)
  2. Dividend_Prime_Summary_of_Benefits_ENG_2019_R
  3. Dividend_Prime_Summary_of_Benefits_SPANISH_2019_R
  4. Dividend_Prime_007_17756_EOC_ENG_2019
  5. 2019 Comprehensive Formulary
  6. Dividend Prime Star_Ratings_H0174_ENG_2019_R
  7. Enrollment_Application_ENG_2019
  8. Enrollment_Application_SPANISH_2019_R
  9. TX_ccp_EFT_Form
  10. Direct_Member_Reimbursement_Form_ENG
  11. Medical_Reimbursement_Claim_Form_SPANISH
  12. OTC_reimbursementform_eng
  13. EOB_sample_eng
  14. EOB_sample_spanish
  15. Member_Appointment_of_Representative_ENG
  16. Member attestation_form_04_2013
  17. HIPPA_release_information_eng
  18. HIPPA_release_revocation_form_eng
  19. Star Rating