Members

Member Materials

Last Updated: October 30, 2023 at 11:26 am

Here is where you will find our most up-to-date information on health plan benefits, provider directories, a list of covered drugs, and more.

If you are a member and would like any of the following documents mailed to you, please call Member Services at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week. 

We are here to help. If you have questions, please call Member Services at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.

 

 

2023 Plan Year

2024 Plan Year

Annual Notice of Changes (ANOC)

English
(Updated - 12/23/2022 12:42 AM) | Spanish
(Updated - 12/23/2022 12:36 AM)

English
(Updated - 09/25/2023 09:14 AM) | Spanish
(Updated - 09/25/2023 09:16 AM)

Evidence of Coverage (EOC)

English
(Updated - 01/10/2023 11:24 PM) | Spanish
(Updated - 01/10/2023 11:24 PM)

English
(Updated - 10/16/2023 03:53 PM) | Spanish
(Updated - 10/16/2023 03:53 PM)

Summary of Benefits

English
(Updated - 09/15/2023 06:17 PM) | Spanish
(Updated - 12/23/2022 01:00 AM)

English
(Updated - 09/25/2023 09:18 AM) | Spanish
(Updated - 09/25/2023 09:18 AM)

Formulary (List of Covered Drugs)

English | Spanish
(Updated - 11/01/2023 11:57 AM)

Search tool: English | Spanish

English | Spanish
(Updated - 10/05/2023 12:09 PM)

Search tool: English | Spanish

Pharmacy Directory

English | Spanish
(Updated - 11/09/2023 12:21 AM)

Search tool: English  |  Spanish

English | Spanish
(Updated - 09/25/2023 10:10 PM)

Search tool: English  |  Spanish

Primary Care Provider Directory

English
(Updated - 11/01/2023 11:58 AM) | Spanish

English
(Updated - 09/28/2023 10:11 PM) | Spanish
(Updated - 09/28/2023 10:10 PM)

Specialty Care Provider Directory

English | Spanish

English
(Updated - 09/28/2023 10:12 PM) | Spanish
(Updated - 09/28/2023 10:11 PM)

Supplemental Benefits Flyer 

 English
(Updated - 09/30/2022 03:49 PM) | Spanish
(Updated - 09/30/2022 03:49 PM)

 English | Spanish

Over-the-Counter (OTC) Catalog

English | Spanish
(Updated - 02/16/2023 11:05 PM)

 English
(Updated - 10/05/2023 03:54 PM) | Spanish
(Updated - 10/05/2023 03:55 PM)

Benefits at a Glance

English
(Updated - 10/23/2022 10:40 PM) | Spanish
(Updated - 10/23/2022 10:40 PM)

English
(Updated - 09/25/2023 10:09 PM) | Spanish
(Updated - 10/02/2023 03:07 PM)

Non-Discrimination Notice and Multi-Language Interpreter Services

English  |  Spanish
(Updated - 01/18/2023 12:36 PM)

English  |  Spanish
(Updated - 09/25/2023 09:17 AM)

Star Ratings

English
(Updated - 10/21/2022 09:36 AM) | Spanish 
(Updated - 10/21/2022 09:56 AM)

English | Spanish
(Updated - 10/30/2023 11:20 AM) 

Disenrollment Form

English
(Updated - 10/31/2022 10:39 PM) | Spanish
(Updated - 10/31/2022 10:39 PM)

English
(Updated - 09/25/2023 09:15 AM) | Spanish
(Updated - 09/25/2023 09:15 AM)
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