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  4. Documents and Forms for Medicare Plans

Documents and Forms for Medicare Plans

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We found the following documents that match your search:

Benefits and Coverage

  • 2024 Sentara Medicare Prime (HMO) - Annual Notice of Changes - Peninsula
  • 2024 Sentara Medicare Prime (HMO) - Annual Notice of Changes - Southside Hampton Roads
  • 2024 Sentara Medicare Value (HMO) - Annual Notice of Changes - Southside Hampton Roads
  • 2024 Sentara Medicare Value (HMO) - Annual Notice of Changes - Peninsula
  • 2024 Sentara Medicare Value (HMO) - Annual Notice of Changes - Northern Virginia
  • 2024 Sentara Medicare Value (HMO) - Annual Notice of Changes - Central/Halifax
  • 2024 Sentara Medicare Salute (HMO) - Annual Notice of Changes
  • 2024 Sentara Community Complete (HMO D-SNP) - Annual Notice of Changes
  • 2024 Sentara Medicare Prime (HMO) - Evidence of Coverage - Peninsula
  • 2024 Sentara Medicare Prime (HMO) - Evidence of Coverage - Southside Hampton Roads
  • 2024 Sentara Medicare Value (HMO) - Evidence of Coverage - Southside Hampton Roads
  • 2024 Sentara Medicare Value (HMO) - Evidence of Coverage - Peninsula
  • 2024 Sentara Medicare Value (HMO) - Evidence of Coverage - Northern Virginia
  • 2024 Sentara Medicare Value (HMO) - Evidence of Coverage - Central/Halifax
  • 2024 Sentara Medicare Value (HMO) - Evidence of Coverage - Roanoke/Alleghany
  • 2024 Sentara Medicare Value (HMO) - Evidence of Coverage - Southwest
  • 2024 Sentara Medicare Savings (HMO) - Evidence of Coverage
  • 2024 Sentara Medicare Salute (HMO) - Evidence of Coverage
  • 2024 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Evidence of Coverage
  • 2024 Sentara Community Complete (HMO D-SNP) - Evidence of Coverage
  • 2024 Sentara Medicare Prime/Value (HMO) - Summary of Benefits - Southside Hampton Roads
  • 2024 Sentara Medicare Prime/Value (HMO) - Summary of Benefits - Peninsula
  • 2024 Sentara Medicare Prime/Value (HMO) - Summary of Benefits Central/Halifax
  • 2024 Sentara Medicare Value (HMO) - Summary of Benefits - Northern Virginia
  • 2024 Sentara Medicare Value (HMO) - Summary of Benefits - Roanoke/Alleghany
  • 2024 Sentara Medicare Value (HMO) - Summary of Benefits - Southwest
  • 2024 Sentara Medicare Savings (HMO) - Summary of Benefits
  • 2024 Sentara Medicare Salute (HMO) - Summary of Benefits
  • 2024 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Summary of Benefits
  • 2024 Sentara Community Complete (HMO D-SNP) - Summary of Benefits
  • 2024 Sentara Community Complete Select (HMO D-SNP) - Evidence of Coverage
  • 2024 Sentara Medicare (HMO) - Extra Help Plan Premium

Provider Directories

  • 2024 Sentara Medicare HMO Provider Search
  • 2024 Sentara Community Complete (HMO D-SNP) and Sentara Community Complete Select (HMO D-SNP) Provider Search
  • Print Ready Directories
  • Find a Dentist

Prescription Drugs

  • 2024 Sentara Medicare HMO Pharmacy and Drug Search
  • 2024 Sentara Medicare Engage – Diabetes and Heart (HMO C-SNP) Pharmacy and Drug Search
  • 2024 Sentara Community Complete (HMO D-SNP) Pharmacy and Drug Search
  • 2024 Sentara Medicare (HMO) - Printable Formulary
  • 2024 Sentara Community Complete (HMO D-SNP) - Printable Formulary
  • Other Pharmacy Documents
  • Note: Prescription drug coverage is not provided under Sentara Medicare Salute (HMO) plans.

Other Documents

  • Star Ratings
  • Register an Advance Care Plan
  • My Advance Care Planning Guide
  • Designated Representative Authorization Form

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© Sentara Health Plans 2024, PO Box 66189, Virginia Beach, Virginia 23466

Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products are issued and underwritten by Sentara Health Plans. Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. Sentara Health Administration, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. All plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS). Medicaid and FAMIS products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS).