OneCare Connect

Member Documents

Things you may need

Download the 2022 OCC member handbook Download PDF Icon It lists what is covered, how to get services, your rights as a member, your responsibilities, and much more.

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Download the 2022 OCC summary of benefits Download PDF Icon This is a summary, please see the OCC member handbook for the full benefits list.

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2022 Annual Notice of Change Download PDF Icon Read the 2022 Annual Notice of Change.

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Download the 2022 OneCare Connect provider and pharmacy directory Download PDF Icon Use the Provider and Pharmacy Directory to find a doctor, specialist, pharmacy or other provider near you.

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2022 OneCare Connect list of covered drugs (formulary) This includes criteria for prior authorization. It also has criteria for step therapy.

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2022 Over-the-Counter (OTC) Catalog and Ordering Instructions Download PDF Icon Download the catalog. Learn how to order OTC items online, by phone or by mail.

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Latest member newsletter Download PDF Icon Read tips to keep you and your family healthy

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Common forms Find many of the forms you may need.

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Other important documents See the OneCare Connect Plan Rating, Best Available Evidence Policy, Notice of Privacy Practices, Notice of Nondiscrimination, Annual Notices and other documents.

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New OCC Members

To file a complaint with Medicare, click on the following link to complete a complaint form on the Medicare website: Medicare Complaint Form.

H8016_22WEB001_2022_A (Accepted 9/25/2021)


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