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UC High Option Supplement to Medicare
UC Medicare PPO
UC Medicare PPO Health Plans
UC Medicare PPO Without Prescription Drugs
UC High Option Supplement to Medicare
2023
High Option Supplement to Medicare—Navitus 2023 Vaccine Coverage [PDF]
High Option Supplement to Medicare 2023 Benefit Booklet [PDF]
High Option Supplement to Medicare 2023 Medical Plan Benefits Summary [PDF]
High Option Supplement to Medicare—Navitus 2023 Annual Notice of Changes [PDF]
High Option Supplement to Medicare—Navitus 2023 Evidence of Coverage [PDF]
High Option Supplement to Medicare—Navitus 2023 Medicare Part D Formulary [PDF]
High Option Supplement to Medicare—Navitus MedicareRx 2023 Summary of Benefits [PDF]
2022
High Option Supplement to Medicare 2022 Benefit Booklet [PDF]
High Option Supplement to Medicare 2022 Medical Plan Benefits Summary [PDF]
High Option Supplement to Medicare 2022 Summary of Benefits & Coverage—Spanish [PDF]
UC Medicare PPO
2023
Medicare PPO 2023 Benefit Booklet [PDF]
Medicare PPO 2023 Medical Plan Benefits Summary [PDF]
Medicare PPO—Navitus 2023 Annual Notice of Changes [PDF]
Medicare PPO—Navitus 2023 Evidence of Coverage [PDF]
Medicare PPO—Navitus 2023 Medicare Part D Formulary [PDF]
Medicare PPO—Navitus 2023 Vaccine Coverage [PDF]
Medicare PPO—Navitus MedicareRx 2023 Summary of Benefits [PDF]
2022
2022 PPO Open Enrollment Guide [PDF]
Medicare PPO 2022 Benefit Booklet [PDF]
Medicare PPO 2022 Medical Plan Benefits Summary [PDF]
Medicare PPO 2022 Summary of Benefits & Coverage—Spanish [PDF]
UC Medicare PPO Without Prescription Drugs
2023
Medicare PPO w/o Prescription Drugs 2023 Benefit Booklet [PDF]
Medicare PPO w/o Prescription Drugs 2023 Medical Plan Benefits Summary [PDF]
2022
Medicare PPO w/o Prescription Drugs 2022 Benefit Booklet [PDF]
Medicare PPO w/o Prescription Drugs 2022 Medical Plan Benefits Summary [PDF]
Medicare PPO w/o Prescription Drugs 2022 Summary of Benefits & Coverage—Spanish [PDF]
UC Medicare PPO Health Plans
Forms
Authorization of Release of Personal and Health Information [PDF]
International Medical Claim Form [PDF]
Medical Claim Form [PDF]
Prescription Drug Claim Form [PDF]