2012 Plan Information

Download the 2012 Evidence of Coverage (pdf)

2012 Evidence of Coverage for MassHealth only members (pdf)

Download the 2012 Summary of Benefits (pdf)

Download the 2012 Annual Notice of Change (pdf)

Download the 2012 Formulary (pdf)

Download the 2012 Low Income Subsidy Rider (pdf)

Download the 2012 Low Income Subsidy Premium Summary Chart (pdf)

Download the 2012 Provider Directory (pdf)

Download the Notice of Privacy Practices (pdf)

Download Quality Improvement Program information (pdf)

Download the 2012 Plan Rating (pdf)

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Last updated 5/1/12