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How to file grievances and appeals and how to request coverage decisions and coverage determinations.
Important documents for Medicare members to help understand their benefits, find a doctor and/or a pharmacy.
2018 Important Plan Documents
2017 Important Plan Documents
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Your important plan documents below include coverage and costs for medical benefits and prescription drug benefits, that will be effective on January 2017.
Essential Provider Directories
Monthly Provider Directory UpdatesThis document includes recent additions, deletions and changes to the provider network for all the counties
HMO Provider Directories
Notice of Nondiscrimination Policy
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Type in the names of the prescription drugs you take to find out the costs.
Find the prescription drugs you take on our list of covered drugs called a formulary.
There’s an EmblemHealth network pharmacy near you. Here’s how to find one.
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Your member ID # is on the front of your ID card.