Plan Materials

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On this page, you will find important documents pertaining to El Paso Health Advantage Dual SNP (HMO D-SNP).

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

Pre-enrollment Checklist

In this Medicare checklist, we outline the seven steps you’ll want to check off your to-do list before deciding what best fits your Medicare needs and how to properly become a Medicare beneficiary.

Enrollment Form

Use this form to enroll in El Paso Health Advantage Dual SNP

Summary of Benefits

The Summary of Benefits outlines your plan benefits for the current calendar year.

Evidence of Coverage

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

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.

Pharmacy Directory

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

Formularies (Drug List)

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

Comprehensive Formulary (Drug List)

Abridged Formulary (Drug List)

*Printed copies of information posted on our website are available upon request.

If you have questions, please call El Paso Health Advantage Dual SNP Member Services toll free at 1-833-742-3125 (TTY 1-855-532-3740).

We are available:

  • October 1 – March 31, 8 a.m. to 8 p.m. Mountain Time (MT) daily.
  • April 1 – September 30, 8 a.m. to 8 p.m. Mountain Time (MT) Monday through Friday.

H3407_website CMS Accepted 10/09/2019