prescriptions. 
Review the formulary to make sure your drugs are covered.  
Understanding Important Rules 
Benefits, premiums and/or copayments/co-insurance may change on January 1, 2024. 
Except in emergency or urgent situations, we do not cover services by out-of-network providers 
(doctors who are not listed in the provider directory).  
This plan is adual eligible special needs plan (D-SNP). Your ability to enroll will be based on