Evidence of Coverage 2023
Click on the link with the name of your plan to review it or
download it in a printable PDF format.
Eligibility Requirements
To enroll in our plans you must meet the following
requirements:
- You must be entitled to Medicare Part A and D and enrolled in
Part B provided that you will be entitled to receive services under
Medicare Part A and Part B as of the effective date of coverage
under the plan
- You must permanently reside in the service area of the
plan.
- You must make a valid enrollment request that is received by
the plan during an election period.
- For those enrolling in a Special Needs Plan (SNP) you must meet
the eligibility requirements for the specific SNP.
Rights and
Responsibilities
If you choose to leave our plan you have the following rights
and responsibilities:
- You may end your membership in our plan only during certain
times of the year, known as enrollment periods.
- You should continue to use our network providers and pharmacies
to get your medical services and prescriptions filled until your
membership in our plan ends.
- You have the right to obtain a disenrollment notice within 10
calendar days.
- You have the right to file a grievance with our plan.
For detailed information please refer to each plan's Evidence of
Coverage document.