Current member documents, prescription drug resources, directories, notices, and member support information.
Secure member access
Sign in to access available plan information and online member resources.
Download plan PDFs below. External websites open in a new tab.
Current benefits, costs, coverage rules, and member responsibilities.
Complete benefits, costs, coverage rules, and member rights. Chapter 10 explains ending membership and disenrollment.
Overview of plan benefits and costs.
Member Services contact information.
Drug list, pharmacies, and Part D request forms through Navitus.
Printable list of covered drugs. Updated October 23, 2026.
Printable network pharmacy directory. Pharmacy list current as of October 1, 2026.
Temporary drug-supply rules: Chapter 5, Section 5 (printed pages 93–94). Medicare Prescription Payment Plan information: Chapter 2, Section 7 (printed pages 27–28).
List of covered drugs (Navitus).
Find a network pharmacy (Navitus).
Request for Medicare Prescription Drug Coverage Determination. Use to ask the plan to cover a drug. Not a grievance or reimbursement form.
Request for Redetermination of Medicare Prescription Drug Denial. Use to appeal a Part D drug denial. Not a grievance or reimbursement form.
CMS-approved 2027 Step Therapy criteria. Document last updated November 1, 2026.
Medication Therapy Management (MTM) program information.
Locate participating healthcare providers and facilities.
Search participating providers and facilities online.
Complete printable provider directory. Updated September 30, 2026.
Language assistance and auxiliary aids and services.
Notice of Availability of Language Assistance Services and Auxiliary Aids and Services.
Chapter 3, Section 3.3 (printed pages 37–38) explains access to care during a declared disaster. Chapter 5, Section 2.5 addresses out-of-network pharmacies.
Enrollment materials and ways to request plan information.
Download the enrollment application; online enrollment is also available on the Enrollment page.
Enrollment contact information.
Review benefits and important rules before enrolling.
Contact information for medical and prescription drug appeals.
Contact information for Part C medical appeals.
Contact information for Part D prescription drug appeals.
Official CMS form and instructions. For where to send the completed form, call Member Services at 1-888-230-4214 (TTY: 1-888-230-4215).
Your plan documents explain your rights and responsibilities, including how to receive information, participate in care decisions, request accessible materials, and challenge coverage decisions.