The Evidence of Coverage document gives you the details about your Medicare health care and prescription drug coverage.

For questions about this document, please contact Member Services at 1-888-477-0090. (TTY users should call 711). Hours are 8:00 am-8:00 pm, 7 days a week, October 1- March 31. On weekends and certain holidays from April 1 to September 30, your call may be handled by our automated phone system. This call is free.

Plan Information


2025 Nascentia Dual Advantage (D-SNP)

2024 Nascentia Dual Advantage (D-SNP)

2025 Nascentia Skilled Nursing Facility (I-SNP)

2024 Nascentia Skilled Nursing Facility (I-SNP)

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Prescription Drug Information

Drug Formulary

Member Documents


Our Plans and Enrollment Process


About Medicare and Medicare Advantage

You can find information about our grievance, coverage determination, appeal and exceptions for Part D processes in your Evidence of Coverage. Please refer to the section called "What to do if you have a problem or complaint (coverage decisions, appeals, complaints)."

You can also find information about your rights and responsibilities as a member of our plan in your Evidence of Coverage. Please refer to the section called "Your rights and responsibilities."

2025

2024

Last Updated on October 15, 2024