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Helpful Documents

2025 Enrollment Materials cover featuring grandparents in a garden planting with their granddaughter

Information Kit

Medicare Guidebook

Social Security Medicare Booklet Cover

Medicare SSA Booklet

medicare savings report cover image

Medicare Savings Report

2025 Plan Documents

Advantage MD PPO
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Summary of Benefits
Evidence of Coverage (PPO)
Evidence of Coverage (PPO Plus)
Evidence of Coverage (PPO Primary)
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
PPO LIS Premium Summary Chart

Advantage MD HMO
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Summary of Benefits
Evidence of Coverage (HMO)
Evidence of Coverage (HMO Tribute)
Transportation Assistance
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
HMO LIS Premium Summary Chart – English | Spanish

Advantage MD D-SNP (HMO)
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Expand

Evidence of Coverage – English | Spanish
Summary of Benefits – English | Spanish
Transportation Assistance
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
HMO LIS Premium Summary Chart – English | Spanish

Advantage MD Select (HMO)
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Expand

Summary of Benefits
Evidence of Coverage
Transportation Assistance
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
Select (HMO) LIS Premium Summary Chart

2024 Plan Documents

Advantage MD PPO
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Expand

Summary of Benefits – English | Spanish
Evidence of Coverage (PPO)
Evidence of Coverage (PPO Plus)
Evidence of Coverage (PPO Primary)
Evidence of Coverage (PPO Premier) – English | Spanish
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
PPO LIS Premium Summary Chart – English | Spanish

Advantage MD HMO
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Expand

Summary of Benefits – English | Spanish
Evidence of Coverage (HMO)
Evidence of Coverage (HMO Tribute)
Transportation Assistance
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
HMO LIS Premium Summary Chart – English | Spanish

Advantage MD D-SNP (HMO)
Collapse
Expand

Summary of Benefits – English | Spanish
Evidence of Coverage – English | Spanish
Transportation Assistance
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
HMO LIS Premium Summary Chart – English | Spanish

Advantage MD Select (HMO)
Collapse
Expand

Summary of Benefits – English | Spanish
Evidence of Coverage
Transportation Assistance
Prescription Drug Formulary
Pre-Enrollment Checklist – English | Spanish
Select (HMO) LIS Premium Summary Chart

Please note: the information in this section does not apply to Advantage MD Group.