Medicare Part D

Prescribers, please find below the Medicare Part D coverage determination forms for Hospice and for each state's plan, as well as the formularies for each of our Medicare Part D plans:

Absolute Total Care: Healthy Connections Prime (SC)

Bridgeway Health Solutions Advantage (AZ)

Buckeye Health Plan Advantage (OH)

Illinicare Health (Dual Demonstration Plan / MMP) (IL)

Managed Health Services Advantage (WI)

MyCare Ohio (Medicare + Medicaid) (Dual Demonstration Plan / MMP) (OH)

Peach State Health Plan Advantage (GA)

Sunshine Health Advantage (FL)

Superior HealthPlan Advantage (TX)

Superior HealthPlan: STAR + PLUS MMP