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.
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.
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.
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).
2026 Evidence of Coverage

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 – Version en Español

Formularies (Drug List)

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

Formulary (Drug List) Page
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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