Member Handbook Information

Go directly to a chapter of the Member Handbook/EOC by clicking the links below.

2021 Member Handbook/EOC   2022 Member Handbook/EOC
Chapter Title   Chapter Title

1

Getting started as a member  

1

Getting started as a member

2 Important phone numbers and resources   2 Important phone numbers and resources
3 Using the plan's coverage for your health care and other covered services   3 Using the plan's coverage for your health care and other covered services
4 Benefits chart   4 Benefits chart
5 Getting your outpatient prescription drugs through the plan   5 Getting your outpatient prescription drugs through the plan
6 What you pay for your Medicare and Texas Medicaid prescription drugs   6 What you pay for your Medicare and Texas Medicaid prescription drugs
7 Asking us to pay a bill you have gotten for covered services or drugs   7 Asking us to pay a bill you have gotten for covered services or drugs
8 Your rights and responsibilities   8 Your rights and responsibilities
9 What to do if you have a problem or complaint (coverage decisions, appeals, complaints)   9 What to do if you have a problem or complaint (coverage decisions, appeals, complaints)
10 Ending your membership in our Medicare-Medicaid plan   10 Ending your membership in our Medicare-Medicaid plan
11 Legal notices   11 Legal notices
12 Definitions of important words   12 Definitions of important words

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