Need more information?
The following documents provide detailed information on Choices 65 benefits and plan design. Use the links below to view Choices 65 documents directly from your computer. If you would like any of these documents mailed to you, please complete the form below. Be sure to select the documents you would like us to send. You should receive the documents within two weeks of your request.
2008 Annual Notice of Change (PDF file - 1.32 MB) - provides a highlight of what is new and helps compare 2008 benefits to 2007.
2008 Health Plan Overview (PDF file - 4.42 MB) - provides a general summary of benefits and services for each of our health plans
2008 Evidence of Coverage (PDF file - 6.22 MB) - provides information about your benefits, membership, covered and non-covered services, member rights and responsibilities and other important plan details.
2008 Abridged Formulary (PDF file - 3.04 MB) - a partial list of the open formulary for prescription drugs covered by Choices 65.
2008 Summary of Benefits (PDF file - 2.96 MB) - charts your benefits, associated costs and the benefits and costs for original Medicare.
2008 Provider Directory (PDF file - 2.8 MB) - updated August 2008
Notice of Privacy Practices (PDF file - 588 KB) - describes how your medical information may be used and disclosed and how you can get access to this information.
Viewing these documents requires the Adobe Acrobat Reader, which can be downloaded for free.
If you would like any of these documents mailed to you, please complete the form below.