Plan Resources

How do I?

Enrollment Faqs
Request a Member Id Card
Order Over-the-Counter Supplies
Appoint Representation
File a Grievance
Check my Rewards Plus Program balance
Learn New Digital Skills
File an Appeal
Submit a Healthcare Claim or Bill
Disenroll from Brand New Day
Find Community Based Resources
Participate in the Rewards Plus Program
Member Premium Payment

Pre-enrollment Checklist

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Additional Details About Brand New Day

Plan Documents (ANOC, EOC and Summary of Benefits
Medicare Resources
Health Education
Brand New Day Member Hub
Brand New Day Member Premium Payment

2024 Member Resource Guide

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Multi-Language Interpreter Services
Clinical Criteria
Diabetic Monitoring Supplies
Non-Discrimination Notice
Out-of-Network Coverage Rules
Part C Pre-Authorizations, Organizational Determination, Appeals & Grievances
Utilization Management
Provider/Pharmacy Search
Privacy Practices for Protected Health Information (PHI)

2024 Medicare Plan Ratings-2024 Medicare Star Ratings

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Quarterly Newsletters

Winter Newsletters

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Spring Newsletters

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Summer Newsletters

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Fall Newsletters

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Forms

Over-the-Counter (OTC) Order Form (2024)

English

Appeal Form

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Appointment of Representative Form

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Authorization for Disclosure of Protected Health Information

Enrollment Form

2024

Express Scripts Direct Order Form

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Grievance Form

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Authorization Service Request Form

English Spanish
Benefit Highlights

2024 Health Risk Assessment (HRA)

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