Elderplan Plan Materials
Annual Notice of Change (ANOC)
This tells you about Medicare changes that will impact your current plan benefits or costs.
Summary of Benefits (SOB)
Provides a snapshot of your plan’s costs, benefits and covered health services.
Evidence of Coverage (EOC)
Is a detailed guide of what is covered and what is not
Formularies
Is a list of prescription drugs covered by your health plan.
Use the Medicare & Medicaid formulary if you are enrolled in:
- Elderplan for Medicaid Beneficiaries
- Elderplan Advantage for Nursing Home Residents
- Elderplan Plus Long-Term Care
Use the Medicare formulary if you are enrolled in:
- Elderplan Flex
- Elderplan Extra Help
- Elderplan Select
Star Ratings
Helps Medicare beneficiaries compare the quality of health and drug plans.
For Elderplan Plus Long-Term Care
For other Elderplan Plans
Member Handbooks
LIS Premium Summary
Benefits Brochures
OTC and Flex Brochures
Transportation Brochure
Annual Notice of Change (ANOC)
This tells you about Medicare changes that will impact your current plan benefits or costs.
Summary of Benefits (SOB)
Provides a snapshot of your plan’s costs, benefits and covered health services.
Evidence of Coverage (EOC)
Is a detailed guide of what is covered and what is not
Formularies
Is a list of prescription drugs covered by your health plan.
Use Tier 1 formulary if you are enrolled in:
- Elderplan for Medicaid Beneficiaries
- Elderplan Advantage for Nursing Home Residents
- Elderplan Plus Long-Term Care
Use Tier 5 formulary if you are enrolled in:
- Elderplan Flex
- Elderplan Extra Help
- Elderplan Assist
- Elderplan Select
Star Ratings
Helps Medicare beneficiaries compare the quality of health and drug plans.
