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Member Documents

2022 Member Documents 

(Haga clic aquí para español)

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

 2022 Comprehensive Formulary

 2022 Comprehensive Formulary

 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

2022 Dental Benefits &
Copayment Schedule

Delta Dental - Dental Directory 

 Delta Dental - Dental Directory

2022 Dental Benefits &
Copayment Schedule

Gym Reimbursement Form

   

 

 

2021 Member Documents

(Haga clic aquí para español)

Service To Seniors (HMO)

Vitality Plus (HMO)

Desert Preferred Choice (HMO)

 2021 Annual Notice Of Change (ANOC)

 2021 Annual Notice Of Change (ANOC)

 2021 Annual Notice Of Change (ANOC)

 2021 Evidence Of Coverage (EOC)

 2021 Evidence Of Coverage (EOC)

 2021 Evidence Of Coverage (EOC)

 2021 Comprehensive Formulary

                         2021 Formulary Updates

 

 2021 Comprehensive Formulary

            2021 Formulary Updates

                             

 2021 Comprehensive Formulary

                2021 Formulary Updates

 2021 Over the Counter Brochure (OTC)

 2021 Over the Counter Brochure (OTC) 

 

 2021 Provider Directory*
     (LA/San Bernardino County)

 2021 Provider Directory*
      (Riverside County)

 2021 Provider Directory*
       (Orange County)

 2021 Provider Directory*
     (LA/San Bernardino County)

 2021 Provider Directory*
      (Riverside County)

 2021 Provider Directory*
       (Orange County)

  2021 Provider Directory*
     

 Dental Directory (Updated 10/14/21)  Dental Directory (Updated 10/14/21)  Dental Directory (Updated 10/14/21)

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 11/08/2021