ENROLL OR CONTACT US TODAY

ENROLL OR CONTACT US TODAY

2025 Centers Plan for Dual Coverage Care (HMO D-SNP) Materials

Comprehensive Formulary (Drug List)

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

Other Formulary-Related Documents

Language Link Last Updated
Prior Authorization Requirement
05/30/25
Step Therapy Requirement
05/30/25
Future Formulary Changes
05/21/25

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

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

Last modified: Oct 25, 2020