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2023 Plan Materials
Please see the links below for information about 2023 plans. Members can also find plan-specific 2022 coverage documents through the online member portal.
Notice of Update
As a result of the Inflation Reduction Act (IRA) enacted on August 16, 2022 there are updates impacting Medicare Part B prescription drug coverage and Medicare Part B insulin coverage. You will find a notice at the end of each document, if applicable. Please view the specific plan material to reference the notice. If there is no notice, this does not apply to that particular plan.
2023 Summary of Benefits
2023 Evidence of Coverage
Network PlatinumChoice (PPO)
Network PlatinumPlus (PPO)
Network PlatinumPlus Pharmacy (PPO)
Network PlatinumPremier (PPO)
Network PlatinumPremier Pharmacy (PPO)
NetworkCares (PPO D-SNP)
Network Health Medicare Go (PPO)
Network PlatinumPlus (PPO)
Network PlatinumPlus Pharmacy (PPO)
Network PlatinumPremier (PPO)
Network PlatinumPremier Pharmacy (PPO)
NetworkCares (PPO D-SNP)
Network Health Medicare Go (PPO)
2023 Annual Notice of Change
Network PlatinumSelect (PPO)
Network PlatinumChoice (PPO)
Network PlatinumPlus (PPO)
Network PlatinumPlus Pharmacy (PPO)
Network PlatinumPremier (PPO)
Network PlatinumPremier Pharmacy (PPO)
NetworkCares (PPO D-SNP)
Network Health Medicare Go (PPO)
Network PlatinumChoice (PPO)
Network PlatinumPlus (PPO)
Network PlatinumPlus Pharmacy (PPO)
Network PlatinumPremier (PPO)
Network PlatinumPremier Pharmacy (PPO)
NetworkCares (PPO D-SNP)
Network Health Medicare Go (PPO)
2023 Delta Dental Plan Certificate of Coverage
Delta Dental Coverage for Network PlatinumChoice (PPO) and Network Health Medicare Anywhere (PPO)
Delta Dental for Network Health Armor (PPO) and Network Health Medicare Bravo (PPO)
Delta Dental Coverage for NetworkCares (PPO D-SNP)
Specific dental coverage for our members that are dual-eligible.
Delta Dental Rider Coverage
Optional supplemental dental program available to add on to all plans.
Benefits at a Glance for Providers
2023 Benefits at a Glance - Medicare Advantage Benefits for Providers
2022 Benefits at a Glance - Medicare Advantage Benefits for Providers
2022 Plan Materials
For 2022 plan information and documents see 2022 Plan Materials.
