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Learn how to access your plan details and key documents, including the Annual Notice of Change, Evidence of Coverage, Summary of Benefits, and Drug List (Formulary).

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How to Locate Plan Details and Documents from the Plan Overview Page


Medicare Advantage Plans

  • Plan Documents: locate your Annual Notice of Change, Summary of Benefits, and Evidence of Coverage documents in the “Plan Specific Documents” section of the page. You can also locate the Appointment of Representative and Medical Direct Member Reimbursement forms in the "Related Materials" section of the page.

  • Extra Benefits: locate information on extra benefits - such as dental, fitness, and hearing by selecting “Extra Benefits” from the right sidebar. From the “Extra Benefits” drop-down menu, select the extra benefits page that you’re interested in reviewing.

  • Drug List (Formulary) and Prescription Drug Claim Form: if you have a Medicare Advantage Prescription Drug plan, you can locate your plan’s Drug List (Formulary) and Prescription Drug Claim Form by selecting “Pharmacy” from the right sidebar. From the “Pharmacy” drop-down menu, select the “Drug List (Formulary) and Other Documents” page.

Prescription Drug Plans

  • Plan Documents: locate your Annual Notice of Change, Summary of Benefits, and Evidence of Coverage documents in the “Plan Specific Documents” section of the page. You can also locate the Appointment of Representative and Pharmacy Direct Member Reimbursement forms in the "Related Materials" section of the page.
  • Drug List (Formulary) and Prescription Drug Claim Form: You can locate your plan’s Drug List (Formulary) and Prescription Drug Claim Form by selecting “Pharmacy” from the right sidebar. From the “Pharmacy” drop-down menu, select the “Drug List (Formulary) and Other Documents” page.
  • Pharmacy Resources: Locate additional Pharmacy information such as the Medication Guide, Medicare Extra Help, Specialty Pharmacy, Mail order Service, and Transition Policy by selecting “Pharmacy” from the right sidebar. From the “Pharmacy” drop-down menu, select the additional Pharmacy information page that you’re interested in reviewing.

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Y0020_WCM_178064E_M Last Updated On: 10/1/2025