2022 Longevity Plan
Medicare Advantage (HMO)
Plan Materials

2022 Longevity Plan Materials

Annual Notice of Change

Your benefits are changing next year. Download the Annual Notice of Change (ANOC) to learn about these changes.

Summary of Benefits

A summary of medical and prescription drug costs is available in the Summary of Benefits. Download the most current version below.

Evidence of Coverage

Details about your Clever Care benefits are available in the Evidence of Coverage. Download the most current version below.

2022 Prescription Drug Resources

Formulary Change Notice

Changes to your formulary can occur monthly. Download the Formulary Change Notice to learn about these changes.

Prescription Drug Formulary

A complete list of covered prescription drugs is available in the Drug Formulary. Download the most current version below.

Additional Resources

Prior Authorization and Step Therapy Criteria are updated monthly. Download the most current version below.

Prescription Drug (Part D) Search Tools

Our online Part D search tools are a fast and convenient way to look up details about coverage for your prescription drugs, estimate your prescription drug costs, or find a pharmacy near you.

Click on your corresponding plan to get started.

2022 Clever Care Materials