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Medicare Brokers - Forms and Resources

Request materials: Medicare Advantage Materials Request Form

  • Senior Health Plan
  • INTEGRIS Health Partners+
  • CommunityCare Options
  • Individual Election Form
  • Scope of Appointment
  • Scope of Appointment (pdf)
  • Summary of Benefits - 05/11/2023
  • Evidence of Coverage - 04/17/2023
  • Evidence of Coverage - MA only - updated 04/17/2023
  • Senior Health Plan Star Rating - updated 10/27/2022
  • Protected Health Information (PHI) Authorization Form

Medicare Broker Links

  • Senior Health Plan Provider Directory
  • Search the Prescription Drug Formulary
  • Find a Pharmacy
  • Wallet Benefit
  • Mail Order Benefits
  • Over-the-Counter (OTC) Benefit
  • Dental Benefits
  • Find a Dentist
  • Hearing Aid Benefit
  • Routine Vision & Eyewear
  • Non-emergency transportation


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  • Updated: 10/1/2022
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