Member Documents

2022 Member Documents

Service To Seniors (HMO)	Vitality Plus (HMO)	Desert Preferred Choice (HMO)
2022 Annual Notice Of Change (ANOC)	2022 Annual Notice Of Change (ANOC)	2022 Annual Notice Of Change (ANOC)
2022 Evidence Of Coverage (EOC)	2022 Evidence Of Coverage (EOC)	2022 Evidence Of Coverage (EOC)
2022 Comprehensive Formulary Formulary Changes	2022 Comprehensive Formulary Formulary Changes	2022 Comprehensive Formulary Formulary Changes
2022 Over the Counter Brochure (OTC)	2022 Over the Counter Brochure (OTC)	2022 Over the Counter Brochure (OTC)
2022 Provider Directory* LA/San Bernardino County 2022 Provider Directory* Riverside County 2022 Provider Directory* Orange County	2022 Provider Directory* LA/San Bernardino County 2022 Provider Directory* Riverside County 2022 Provider Directory* Orange County	2022 Provider Directory*
Delta Dental - Dental Directory Optional Enhanced Dental Plan Application 2022 Dental Benefits & Copayment Schedule	Delta Dental - Dental Directory Optional Enhanced Dental Plan Application	Delta Dental - Dental Directory Optional Enhanced Dental Plan Application 2022 Dental Benefits & Copayment Schedule
Gym Reimbursement Form

*For the most up to date information on network providers, please use the Find a Doctor search feature located here.

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2022 Member Documents

Service To Seniors

(HMO)

Vitality Plus (HMO)

Desert Preferred Choice

(HMO)

*For the most up to date information on network providers, please use the Find a Doctor search feature located here.