Member Materials - Medicare Advantage
GENERATIONS MEDICARE ADVANTAGE PLANS, MEMBER MATERIALS, FORMS, RESOURCES & GUIDELINES
Learn more about your Generations Medicare Advantage Plans plan and benefits. Download the latest member materials below. All materials shown are available in printed versions. If you need a printed version, please contact Customer Care and a copy will be mailed to you.
Materials for all 2018 Plan Options
Drug Formulary, Pharmacy Prior Authorization and Step Therapy Information
Summary of Benefits
Benefits Guide
Evidence of Coverage (EOC)
- Plan Year 2018 Evidence of Coverage (Generations Value)
- Plan Year 2018 Evidence of Coverage (Generations Classic)
- Plan Year 2018 Evidence of Coverage (Generations Select)
Annual Notice of Changes (ANOC)
- Annual Notices of Changes for 2018 (Generations Value)
- Annual Notices of Changes for 2018 (Generations Classic)
- Annual Notices of Changes for 2018 (Generations Select)
- Annual Notices of Changes for 2018 (Generations Premier)
Enrollment Forms
- 2018 Enrollment Form (All Plan Options - New Members)
- 2018 Short Enrollment Form (All Plan Options – Current Members)
Provider Directory
- Plan Year 2018 Provider Directory (for a current listing, click here.)
Pharmacy Documents, Links and Resources
- 2018 Pharmacy Search Tool
- Over the Counter Benefit (Generations Value & Generations Classic plans only)
- Medicare Part D Prescription Claim Form
- Prescription Drug Mail Order Form
- Prescription Drug Transition Policy
- Medicare Therapy Management (MTM) Program Information
- Utilization Management Program
- Request for Medicare Prescription Drug Appeal (Redetermination) Form
- Request for Medicare Prescription Drug Coverage Determination Form
Additional Documents, Links and Resources
- Plan Year 2018 Medicare Star Ratings
- Non-Discrimination Notice
- Get information about Extra Help to pay your plan premium or prescriptions (LIS)
- Credit Card Recurring Payment Authorization Form
- Bank Draft Recurring Payment Authorization Form
- Your Rights and Responsibilities as a Member of Generations Medicare Advantage plan, offered by GlobalHealth
- Advance Directive Information
- Advance Directive Model Form
- CMS Website's Best Available Evidence (BAE) Page
- Appointment of Representative Form
- Release of Information Form
- Notice of Privacy Practices
- Transition of Care Form
Archived Member Materials
Materials for all 2017 Plan Options
- Click here for the most current 2017 Drug Formulary, Pharmacy Prior Authorization and Step Therapy Information
- Plan Year 2017 Summary of Benefits (All Plan Options)
- Plan Year 2017 Benefits at a Glance (All Plan Options)
- Plan Year 2017 Evidence of Coverage (Generations Value)
- Plan Year 2017 Evidence of Coverage (Generations Classic)
- Plan Year 2017 Evidence of Coverage (Generations Select)
- Plan Year 2017 Evidence of Coverage (Generations Premier)
- Annual Notices of Changes for 2017 (Generations Value)
- Annual Notices of Changes for 2017 (Generations Classic)
- Annual Notices of Changes for 2017 (GlobalHealth Medicare Option 1 to Generations Value)
- Annual Notices of Changes for 2017 (GlobalHealth Medicare Option 2 to Generations Select)
- Annual Notices of Changes for 2017 (GlobalHealth Medicare Option 3 to Generations Premier)
- Annual Notices of Changes for 2017 (GlobalHealth Medicare Option 4 to Generations Select)
- Annual Notices of Changes for 2017 (GlobalHealth Medicare Option 5 to Generations Classic)
- Plan Year 2017 Provider Directory
- 2017 Preferred Pharmacy Search Tool
- 2017 Pharmacy Search Tool
- Medicare Part D Prescription Claim Form
- Prescription Drug Transition Policy
- Request for Medicare Prescription Drug Appeal(Redetermination) Form
- Request for Medicare Prescription Drug Coverage Determination Form
- Plan Year 2017 Medicare Star Ratings
- Your Rights and Responsibilities as a Member of Generations Medicare Advantage plan, offered by GlobalHealth
- Advance Directive Information
- Advance Directive Model Form
- CMS Website's Best Available Evidence (BAE) Page
- Appointment of Representative Form
- Release of Information Form
- Notice of Privacy Practices