Medicare Advantage Plan Materials

El Paso Health Total (HMO) and El Paso Health Giveback (HMO) Member Forms, Manuals, and Directories

On this page, you will find important documents pertaining to El Paso Health Total (HMO) and El Paso Health Giveback (HMO) plans.

Please click on any of the links below to download a PDF copy.

Summary of Benefits

The Summary of Benefits outlines your plan benefits for the current calendar year.
El Paso Health Total (HMO) Summary of Benefits
2026 Summary of Benefits - English 2026 Summary of Benefits – Español

El Paso Health Giveback (HMO) Summary of Benefits
2026 Summary of Benefits - English 2026 Summary of Benefits – Español

Evidence of Coverage
Disclaimer– Coming Soon

The Evidence of Coverage (EOC) explains your rights, benefits, and responsibilities as a Member of El Paso Health Medicare Advantage (HMO).

Enrollment Form

Use this form to enroll in El Paso Health Medicare Advantage.
2026 Enrollment Form – English 2026 Enrollment Form – Spanish

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.
2026 Provider Directory/Directorio de Proveedores

Pharmacy Directory

The Pharmacy Directory provides a list of your plan’s network pharmacies.
2026 Pharmacy Directory 2026 Pharmacy Directory – Español

Formularies (Drug List)

The Formulary provides you with a list of drugs you may need.

Comprehensive Formulary (Drug List)
2026 Comprehensive Formulary (Drug List) 2026 Comprehensive Formulary (Drug List) – 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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