Members

Subscriber Agreement

medicare_care_p

Effective 6/1: ALL Essential Plans include Dental and Vision Benefits at no additional cost (copays or premium). 

All Subscriber Agreements below will be updated to reflect these benefit changes. In the meantime, you can still refer to them for information on:

  • Your health plan.
  • What is covered.
  • How to get the services you need.
  • How to contact us.

Click below for the existing contracts that will be updated:

2024 Essential Plan 1
icon PDF Subscriber Agreement

2024 Essential Plan 2
icon PDF Subscriber Agreement

2024 Essential Plan 3
icon PDF Subscriber Agreement

2024 Essential Plan 4
icon PDF Subscriber Agreement
 
2024 Essential Plan 200-250
icon PDF Subscriber Agreement
 
icon PDF Exercise Reimbursement Form

icon PDF Quick Start Guide (also included in the Welcome Kit)

Need your Subscriber Agreement in your language or format?
Call Member Services.

icon PDF Adobe Acrobat Reader is required to view the file(s) above. Download a free version.