Site Map

Coverages

• Individual Coverages
• Essential
• Efectivo
• Patriot
• Primero
• Firme
• En tu Hogar
• RxMax
• Metro
• InteliCare
• Exacto
• Excede Region 1
• Excede Region 2
• Del Caribe
• Platino Coverages
• Ideal
• MásCa$h
• Progreso
• Total
• Máximo Region 1
• Máximo Region 2
• Máximo Region 3
• ELA Coverages
• Enlace Acero
• Gobierno Ahorro
• Te Ayuda
• Crédito Rubí
• Máximo
• Sólido
• Group Coverages
• Evidence Coverage
• Summary Benefits
• Plan Rating

Enrollment Forms

• MAPD/MA
• Disenrollment

Products and Services

• Durable Medical Equipment Formulary
• Frequently Asked Questions
• New Benefits by Medicare
• Care Management Program
• Reimbursement - Medical Expenses
• Materials and Forms
• Special Supplemental Benefits
• Emergency Declaration Policy
• 2025 Benefits
• Precertification

Grievances and Appeals

• Part C & Part D Grievances
• Part C Appeals
• Part C Forms
• Part D Appeals
• Part D Forms

HIPAA

• Notice of Privacy Practices
• Forms

• Prescription Drug Formulary
• Drugs by Mail Order Program
• Prescription Drugs Part B
• Out of Network Coverage
• Reimbursement Policy
• Over the Counter (OTC) Items Guide

• Transition Policy - Part D Drugs
• Transition Policy - Part B Drugs
• Medication Therapy Management
• Coverage & Exception