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Member Documents

2022 Member Documents 

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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.  

 

Member Privacy Notice - Your Information, Your Rights. Our Responsibilities

 

 

 

Last Updated 08/30/2022