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2024 Centers Plan for Dual Coverage Care (HMO D-SNP) Materials

 

Comprehensive Formulary (Drug List)

Language Link Last Updated
English download 04/01/24
中文 download 04/01/24
Español download 04/02/24

Evidence of Coverage

Language Link Last Updated
English download 10/18/23
中文 download 11/03/23
Español download 11/03/23

Annual Notice of Changes

Language Link Last Updated
English download 10/18/23
中文 download 10/30/23
Español download 10/30/23

Summary of Benefits

Language Link Last Updated
English download 10/18/23
Español download 10/04/23
中文 download 10/04/23

Click here for the most up-to-date list of Providers


Medicare New York City Provider Directory (pdf)

Languages Link Last Updated
English 

download

03/26/24
中文 download 03/27/24
Español  download 03/27/24

Pharmacy Directory (pdf)

Languages Link Last Updated
English download 03/26/24
中文 download 03/27/24
Español download 03/27/24

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

Click here for the HIPAA Privacy Policy

Medicare Disclaimer

 

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Last modified: Apr 2, 2024