Virtual Visits
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2018 Plan Materials
Please see the links below for information about 2018 plans.
Summary of Benefits
Northeast Medicare Advantage (PPO)
Southeast Medicare Advantage (PPO)
NetworkCares (PPO SNP)
NetworkPrime (MSA)
Evidence of Coverage
Network PlatinumSelect (PPO)
Network PlatinumChoice (PPO)
Network PlatinumPlus (PPO)
Network PlatinumPlus Pharmacy (PPO)
Network PlatinumPremier (PPO)
Network PlatinumPremier Pharmacy (PPO)
Network Health Medicare Go (PPO)
Network Health Medicare Anywhere (PPO)
NetworkCares (PPO SNP)
NetworkPrime (MSA)
Pharmacy Documents
Open Formulary
Closed Formulary
Medicare Prescription Drug Coverage and Your Rights
Redetermination Request
Low Income Subsidy Premium Table
Open Step Therapy Criteria
Closed Step Therapy Criteria
Open Prior Authorization Criteria
Closed Prior Authorization Criteria
Open Formulary Negative Changes
Closed Formulary Negative Changes
Directories
Additional Information
Appointment of Representative
Network Health Medicare Advantage Plans Star Rating
Northeast Enrollment Form
Southeast Enrollment Form
Enrollment Form (NetworkPrime only)
Plan Change Form
Grievance Process
Part C Appeal and Grievance Process
Part D Appeal and Grievance Process
