ENROLL OR CONTACT US TODAY

ENROLL OR CONTACT US TODAY

2025 Centers Plan for Medicare Advantage Care (HMO) Materials

Comprehensive Formulary (Drug List)

Language Link Last Updated
English
06/01/25
中文
04/30/25
Español
06/30/25

Other Formulary-Related Documents

Language Link Last Updated
Prior Authorization Requirement
05/01/25
Step Therapy Requirement
05/01/25
Future Formulary Changes
05/01/25

Interpreter Services & Non-Discrimination Notice

Language Link Last Updated
English
05/01/25
Spanish
05/01/25

Evidence of Coverage

Language Link Last Updated
English
05/01/25
中文
05/01/25
Español
05/01/25

Annual Notice of Changes

Language Link Last Updated
English
05/01/25
中文
05/01/25
Español
05/01/25

Summary of Benefits

Language Link Last Updated
English
05/01/25
中文
05/01/25
Español
05/01/25

Medicare New York City Provider Directory (pdf)

Language Link Last Updated
English
04/14/25
中文
04/14/25
Español
04/14/25

Medicare Erie & Niagara Provider Directory (pdf)

Language Link Last Updated
English
04/14/25
中文
04/14/25
Español
04/14/25

Medicare Nassau & Rockland Directory (pdf)

Language Link Last Updated
English
04/14/25
中文
04/16/25
Español
04/16/25

Pharmacy Directory (pdf)

Language Link Last Updated
English
04/14/25
中文
04/16/25
Español
04/16/25

If you would like a copy of our Provider/Pharmacy Directory mailed to you, please call Member Services at 1-877-940-9330

H6988_CY25_Website_M

Last modified: Oct 25, 2020