Clever Care Community Centers are now open in San Gabriel, Westminster, and Koreatown! Click here to learn more.

Clever Care Plan Documents

2022 Documents

2022 Enrollment Form

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2022 Scope of Appointment (SOA) Form

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2022 LIS Summary

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2022 Drug Formulary

Click on your preferred language below to download

Looking for additional prescription drug resources?

Download a copy of our Formulary Change Notice below:

2022 Medicare Star Ratings

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Clever Care 2022 Enrollment Kits

2022 Longevity Plan Pre-Sale Kit

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2022 Balance Plan Pre-Sale Kit

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2022 Fortune Plan Pre-Sale Kit

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2022 Value Plan Pre-Sale Kit

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2022 Benefit Comparison

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2022 Dental Benefits Overview

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2022 Flexible Allowance Overview

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2022 Longevity Plan Benefit-at-a-Glance

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2022 Balance Plan Benefit-at-a-Glance

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2022 Fortune Plan Benefit-at-a-Glance

Click on your preferred language below to download

2022 Value Plan Benefit-at-a-Glance

Click on your preferred language below to download

2021 Documents

2021 Scope of Appointment (SOA) Form

Click on your preferred language below to access our online Scope of Appointment form:

LIS Summary

Click on your preferred language below to download a copy of the LIS Summary:

Enrollment Form

Click on your preferred language below to access our online enrollment form:

To download a digital version of our enrollment form, click on your preferred language below:

2021 Drug Formulary

Download a copy of your formulary below or find your prescription drugs with our search online:

Looking for additional prescription drug resources?

Download a copy of our Formulary Change Notice below: