羞羞视频
Communitylogo

Plan Material and Forms

Plan Material and Forms

At 羞羞视频, we鈥檙e always here to help you make smart decisions about your health鈥攊ncluding finding the right health plan to best suit your needs and information to help you navigate your policy.

On this page, you will find downloadable documents for 2027 羞羞视频 (HMO D-SNP) plan.

Questions?

Call 1.833.276.8306
(TTY users should call 711)

October 1 to March 31, 8:00 am to 8:00 pm, 7 days a week and听April 1 through September 30, Monday through Friday, 8:00 am to 8:00 pm.

On certain holidays your call will be handled by our automated phone system.

Pre-enrollment Checklist

In this Medicare checklist, we outline the seven steps you鈥檒l want to check off your to-do list before deciding what best fits your Medicare needs and how to properly become a Medicare beneficiary.

Summary of Benefits

The Summary of Benefits outlines your plan benefits for the current calendar year.

Please click on the links below download a PDF copy.

Please call Member Services if you would like a hard copy of the Summary of Benefits mailed to you.

Evidence of Coverage

The Evidence of Coverage (EOC), along with your enrollment form, is听羞羞视频’s contract with you. These documents explain your rights, benefits, and responsibilities as a Member of a 羞羞视频 Medicare Advantage plan.

Please click on the links below download a PDF copy.

Please call Member Services if you would like a hard copy of the EOC mailed to you.

Provider and Pharmacy Directories

The Provider and Pharmacy Directory outlines your plan鈥檚 network of primary care physicians, specialists, hospitals, skilled nursing facilities, outpatient mental health Providers, pharmacies, DMEs, dental, and vision Provider contacts.

Please click on the links below download a PDF copy.

Please call Member Services if you would like a hard copy of the directory mailed to you.

How to Cancel or Leave the Plan

You can change health plans only at certain times during the year. From October 15 – December 7, you can join, switch or drop a Medicare health or drug plan for the following year.

How to Cancel or Leave the Plan

H9826_IT_10045_092919_M Last updated September 30, 2026

Why Choose 羞羞视频?

As a local nonprofit health plan, 羞羞视频 gives you plenty of reasons to join our 羞羞视频. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, 羞羞视频 is always working life forward for you and your family.

鈥溞咝呤悠� is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.鈥�

鈥� Cecily
Member of 羞羞视频

Cobertura que demuestra
que t煤 importas.

Ya sea que se trate solo de ti o de toda tu familia, encuentra hoy mismo una cobertura m茅dica asequible y confiable. 隆Ya lleg贸 la Inscripci贸n Abierta del Mercado! 隆Llame ahora! 832.501.3254

Obtener Cobertura