Member Documents

Things you may need

Download the 2022 OneCare evidence of coverage It lists what is covered, how to get services, your rights as a member, your responsibilities, and much more.

Download the 2022 OneCare provider directory Use the provider directory to find a doctor, specialist, pharmacy or other provider near you.

Download the 2022 OneCare summary of benefits This is a summary, please see the OC evidence of coverage for the full benefits list.

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

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

2022 Annual Notice of Change Read the 2022 Annual Notice of Change.

Common forms Find many of the forms you may need.

2022 OneCare plan rating The Medicare star rating program rates all health and prescription drug plans each year. It is based on a plan’s quality and performance.

Other important documents See the Notice of Privacy Practices, Notice of Nondiscrimination and other documents.

OneCare Customer Service
You can contact us online or by phone, 24 hours a day, 7 days a week.
1-877-412-2734 Toll-free
1-800-735-2929 TDD/TTY
Sign Up for OneCare
1-800-960-9070 Toll-free
Enrollment information

Visit Us

We are continuing to serve our members through our Customer Service phone numbers, as we adhere to guidelines to reduce the possibility of COVID-19 transmission. Our buildings are closed to visitors.
We speak your language
Request interpreter services

New OneCare Members

Frequently asked questions
Get quick answers to common questions about OneCare
New Member Orientation
Come to a meeting to learn about your new benefits

Pharmacy

About the OneCare pharmacy program
Learn about your drug benefits
Medication Therapy Management
This program gives you tools to get the most from your drugs

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

H5433_22WEB001_2022_A (Accepted 9/25/2021)

Disclaimers

Materials available on this website in PDF format may require the free Adobe Reader to view. To download Adobe Reader for free from the Adobe website, click here.