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Find the documents you need to help you manage your Medicare Advantage prescription drug offered by Blue Cross and Blue Shield of Texas.
2022 Annual Notice of Change Dual Care Plus (HMO SNP) English | español
2022 Evidence of Coverage Dual Care Plus (HMO SNP) English | español
2022 Summary of Benefits Dual Care Plus (DSNP) English | español
2022 Enrollment Form Dual Care Plus (HMO SNP) English | español
2022 Plan Star Rating (HMO SNP) English | español
2022 Drug Formulary Dual Care Plus (HMO SNP) English | español
2022 Pharmacy Directory English | español
2022 Find a Doctor or Hospital English | español
2022 Low Income Premium Subsidy (HMO SNP) English | español
2022 Prescription Drug Transition Policy (HMO SNP) English | español
2022 Personal Medication List English | español
2022 Prescription Drug Coverage Determination Request Form (HMO SNP) English | español
2022 Online Coverage Determination Request Form
2022 Prescription Drug Coverage Redetermination Request Form (HMO SNP) English | español
2022 Online Coverage Redetermination Request Form
2022 Automated Premium Payment (ACH) Form (DSNP)
Last Updated: 09302021
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