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.
![](https://ephmedicare.com/wp-content/uploads/2019/10/Pre-Enrollment-Checklist-150x150.png)
Annual Notice of Change
The Annual Notice of Change provides information of our 2023 plan benefit changes.
![](https://ephmedicare.com/wp-content/uploads/2019/10/Enrollment-Form-150x150.png)
Enrollment Form
Use this form to enroll in El Paso Health Medicare Advantage
- 2024 Enrollment Form – (CMS Approved 08/18/2023)
- 2024 Enrollment Form – Version en Español
![](https://ephmedicare.com/wp-content/uploads/2019/10/Summary-of-Benefits-150x150.png)
Summary of Benefits
The Summary of Benefits outlines your plan benefits for the current calendar year.
![Evidence of Coverage](https://ephmedicare.com/wp-content/uploads/2019/10/Evidence-of-Coverage-150x150.png)
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).
![](https://ephmedicare.com/wp-content/uploads/2019/10/Provider-Directory-150x150.png)
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.
![](https://ephmedicare.com/wp-content/uploads/2019/10/Pharmacy-Directory-150x150.png)
Pharmacy Directory
The Pharmacy Directory provides a list of your plan’s network pharmacies.
- 2024 Pharmacy Directory
2024 Pharmacy Directory – Version en Español
![](https://ephmedicare.com/wp-content/uploads/2019/10/Formularies-Drug-List-150x150.png)
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.