Helpful Documents

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Information Kit

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Medicare Guidebook

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Medicare SSA Booklet

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Medicare Savings Report

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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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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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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)
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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)
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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.

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Helpful Documents

Information Kit

Medicare Guidebook

Medicare SSA Booklet

Medicare Savings Report

Plan Documents

Advantage MD PPO
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Expand

Advantage MD HMO
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Expand

Advantage MD D-SNP (HMO)
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Expand

Advantage MD Select (HMO)
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Expand

2024 Plan Documents

Advantage MD PPO
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Expand

Advantage MD HMO
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Expand

Advantage MD D-SNP (HMO)
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Expand

Advantage MD Select (HMO)
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Expand

Subscribe to our emails to get smart tips and timely reminders.

Stay in the know

Helpful Documents

Information Kit

Medicare Guidebook

Medicare SSA Booklet

Medicare Savings Report

Plan Documents

Advantage MD PPOCollapseExpand

Advantage MD HMOCollapseExpand

Advantage MD D-SNP (HMO)CollapseExpand

Advantage MD Select (HMO)CollapseExpand

2024 Plan Documents

Advantage MD PPOCollapseExpand

Advantage MD HMOCollapseExpand

Advantage MD D-SNP (HMO)CollapseExpand

Advantage MD Select (HMO)CollapseExpand

1-888-403-7682

PPO: 1-877-293-5325HMO: 1-877-293-4998

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Advantage MD PPO
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Advantage MD HMO
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Advantage MD D-SNP (HMO)
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Advantage MD Select (HMO)
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Expand

Advantage MD PPO
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Expand

Advantage MD HMO
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Expand

Advantage MD D-SNP (HMO)
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Advantage MD Select (HMO)
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PPO: 1-877-293-5325
HMO: 1-877-293-4998