Plan Finder

Enrollment Application

EOC's (evidence of coverage)   Premium Plan (HMO-POS) EOC   Zero Plan (HMO-POS) EOC other plans

SB's (summary of benefits)   Premium Plan (HMO-POS) SB   Zero Plan (HMO-POS) SB other plans

Drug Formularies

Premium Plan:

Premium Plan Comprehensive Formulary

Zero Plan:

Zero Plan Comprehensive Formulary

other plans

Reference Materials

Vantage Medicare Provider Directory

Approved PA Criteria

Part D Claim Form

2009 Low Income Subsidy (LIS) Premiums and Copays

Links

Centers for Medicare and Medicaid Services (CMS) Best Available Evidence (BAE)

Maps

Medicare Coverage Map

Policies

Privacy Policy

Coverage Determination and Related Forms

for general users:
Medicare Part D Coverage Determination Request Form

for doctors:
Medicare Part D Coverage Determination Request Form

other:
Medicare Redetermination Request Form
Medicare Appointment of Representation Form