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El Paso Health Medicare Advantage
Dual Plan Materials
El Paso Health Medicare Advantage Dual (HMO D-SNP) Member Forms, Manuals, and Directories
On this page, you will find important documents pertaining to
El Paso Health Medicare Advantage Dual (HMO D-SNP)
.
Please click on any of the links below to download a PDF copy.
Annual Notice of Change
The Annual Notice of Change provides information of our 2026 plan benefit changes.
2025 Annual Notice of Change – (CMS 9/10/2024)
2025 Annual Notice of Change – Version en Español
2026 Annual Notice of Change – (CMS 8/23/2025)
2026 Annual Notice of Change – Version en Español
Enrollment Form
Use this form to enroll in El Paso Health Medicare Advantage.
2025 Enrollment Form – English –
(CMS Accepted 09/5/2024)
2025 Enrollment Form – Spanish
2026 Enrollment Form – English –
(CMS Accepted 07/21/2025)
2026 Enrollment Form – Spanish
Summary of Benefits
The Summary of Benefits outlines your plan benefits for the current calendar year.
2025 Summary of Benefits (CMS Accepted 9/16/2024)
2025 Summary of Benefits – Version en Español
2026 Summary of Benefits (CMS Accepted 8/3/2025)
2026 Summary of Benefits – Version en Español
Evidence of Coverage
The Evidence of Coverage (EOC) explains your rights, benefits, and responsibilities as a Member of El Paso Health Medicare Advantage Dual (HMO D-SNP).
2025 Evidence of Coverage
2025 Evidence of Coverage – Version en Español
2026 Evidence of Coverage
Coming Soon
Provider Directory
The Provider Directory outlines your plan’s network of Primary Care Providers, Specialists, Hospitals, Skilled Nursing Facilities, Outpatient Mental Health Providers, DMEs, Dental, and Vision Provider contacts.
2025 Provider Directory/Directorio de Proveedores
2026 Provider Directory/Directorio de Proveedores
Pharmacy Directory
The Pharmacy Directory provides a list of your plan’s network pharmacies.
2025 Pharmacy Directory
2025 Pharmacy Directory – Version en Español
2026 Pharmacy Directory
2026 Pharmacy Directory – Version en Español
Formularies (Drug List)
The Formulary provides you with a list of drugs you may need.
Formulary (Drug List) Page
2025 Comprehensive Formulary (Drug List)
2025 Comprehensive Formulary (Drug List) – Version en Español
2026 Comprehensive Formulary (Drug List)
2026 Comprehensive Formulary (Drug List) – Version en Español
Printed Copies of information posted on our website are available upon request.
If you have questions, please call the El Paso Health Medicare Advantage
Member Services Department
.
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