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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 plan benefit changes.
2027 Annual Notice of Change - (CMS Accepted 9/08/2026)
2027 Annual Notice of Change – Version en Español
2026 Annual Notice of Change – (CMS Accepted 8/23/2025)
2026 Annual Notice of Change – Version en Español
Enrollment Form
Use this form to enroll in El Paso Health Medicare Advantage.
2027 Enrollment Form (CMS Accepted 09/04/2026)
2027 Enrollment Form – Version en Español
2026 Enrollment Form
(CMS Accepted 07/21/2025)
2026 Enrollment Form – Version en Español
Summary of Benefits
The Summary of Benefits outlines your plan benefits for the current calendar year.
2027 Summary of Benefits (CMS Accepted 9/15/2026)
2027 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).
2027 Evidence of Coverage
2027 Evidence of Coverage - Version en Español
2026 Evidence of Coverage
2026 Evidence of Coverage - Version en Español
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.
2027 Provider Directory/Directorio de Proveedores
2026 Provider Directory/Directorio de Proveedores
Updated (10/01/2026)
Pharmacy Directory
The Pharmacy Directory provides a list of your plan’s network pharmacies.
2026 Pharmacy Directory
2026 Pharmacy Directory – Version en Español
Updated (10/01/2026)
2027 Pharmacy Directory
2027 Pharmacy Directory – Version en Español
Formularies (Drug List)
The Formulary provides you with a list of drugs you may need.
2026 Comprehensive Formulary (Drug List)
2026 Comprehensive Formulary (Drug List) – Version en Español
Updated (07/01/2026)
2027 Comprehensive Formulary (Drug List)
2027 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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