Plan Materials
2023 Summary of Benefits
2023 Evidence of Coverage
2023 Addendum to Summary of Benefits and Evidence of Coverage
2023 Provider and Pharmacy Directory
Expansion Counties Effective 1/1/2023:
Staten Island (updated 8/2023)
2023 Formulary
Multi-Language Insert
Language Assistance and Notice of Non-Discrimination (LANN)
Appointment of Representative Form
Health Care Proxy Form & Information
Part D Coverage Determination Form
Member Reimbursement Form
Prescription Drug Mail Order Form
Privacy Notice
Enrollment Form
2023 Medicare Star Ratings
2023 Extra Help Premium Summary Table
Member Resources
*By clicking these links, you will be leaving VillageCareMAX website.
CMS Best Available Evidence Policy
Plan Resources
Member Resources
*By clicking these links, you will be leaving VillageCareMAX website.
CMS Best Available Evidence Policy