Plan Materials

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 2025 plan benefit changes.

     

Enrollment Form

Use this form to enroll in El Paso Health Medicare Advantage

Summary of Benefits

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

Evidence of Coverage

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).

    • 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)

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

    If you have questions, please call El Paso Health Medicare Advantage Member Services toll free at 1-833-742-3125 (TTY 711).

    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 | Last Updated: 10/17/2024