2023 Jasmine Plan
Medicare Advantage (HMO)
Plan Materials

2023 Jasmine Plan Materials

Annual Notice of Change
Balance to Jasmine

Some of our 2022 Balance Plan members will be automatically enrolled in the Jasmine Plan in 2023. 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.

2023 Clever Care Materials

Low-Income Subsidy Summary

If you participate in the Low-Income Subsidy (LIS) Program (also called Extra Help), your monthly Clever Care plan premium may be lower. Download the LIS Summary to see what your plan premium will be.

Medicare Star Ratings

Every year, Medicare evaluates plans based on a 5-star rating system. Download the official 2023 Medicare Star Ratings to see how Clever Care Health Plan has been rated.