1. To find documents related to your coverage, start by selecting
your state and your Medicare plan.

2. Select the state you reside in.

4. Download Plan Documents

H9589-003 Plan Documents
Covered Drug List
Pharmacy Directory
Evidence of Coverage – H9589-003
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H9589
Annual Notice of Change – H9589-003

H6379-001 Plan Documents
Covered Drug List
Pharmacy Directory
Evidence of Coverage – H6379-001
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H6379-001
Annual Notice of Change – H6379-001

H5454-002 Plan Documents
Covered Drug List
Pharmacy Directory
Pharmacy Directory (Spanish)
Evidence of Coverage – H5454-002
Evidence of Coverage – H5454-002 – (Spanish)
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H5454
Star Rating – H5454 – (Spanish)
Annual Notice of Change – H5454-002

H5454-001 Plan Documents
Covered Drug List
Pharmacy Directory
Pharmacy Directory (Spanish)
Evidence of Coverage – H5454-001
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H5454
Star Rating – H5454 – (Spanish)
Annual Notice of Change – H5454-001

H3071-002 Plan Documents
Covered Drug List
Pharmacy Directory
Pharmacy Directory (Spanish)
Evidence of Coverage – H3071-002
Evidence of Coverage – H3071-002 – (Spanish)
Summary of Benefits
LIS Premium Chart
Star Rating – H3071
Star Rating – H3071 – (Spanish)
Annual Notice of Change – H3071-002

H6672-005 Plan Documents
Covered Drug List
Pharmacy Directory
Evidence of Coverage – H6672-005
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H6672
Annual Notice of Change – H6672-005

H6672-003 Plan Documents
Covered Drug List
Pharmacy Directory
Evidence of Coverage – H6672-003
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H6672
Annual Notice of Change – H6672-003

H6379-002 Plan Documents
Covered Drug List
Pharmacy Directory
Evidence of Coverage – H6379-002
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H6379
Annual Notice of Change – H6379-002

H5454-006 Plan Documents
Covered Drug List
Pharmacy Directory
Pharmacy Directory (Spanish)
Evidence of Coverage – H5454-006
Evidence of Coverage – H5454-006 – (Spanish)
Summary of Benefits
LIS Premium Chart
Over-The-Counter Catalog
Star Rating – H5454
Star Rating – H5454 – (Spanish)
Annual Notice of Change – H5454-006

H5454-005 Plan Documents
Covered Drug List
Pharmacy Directory
Pharmacy Directory (Spanish)
Evidence of Coverage – H5454-005
Summary of Benefits – H5454-005
LIS Premium Chart – H5454-005
Over-The-Counter Catalog
Star Rating – H5454
Star Rating – H5454 – (Spanish)
Annual Notice of Change – H5454-005

General Documents

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Request a PDF Directory

Our MAPD Provider Directory includes thousands of primary care physicians (PCPs) and specialists across our service area of select counties in Colorado, Georgia, and Illinois.

Due to the directory size we recommend using the Provider Search above to more accurately locate the providers in your area. However, if you still prefer a printed copy, please contact Member Services at 1 (877) 364-4566.

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To complete a health risk assessment (HRA) please call 888-430-3005 and someone from our team will help.

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