Member Documents

Things you may need

Download the 2022 OCC member handbook It lists what is covered, how to get services, your rights as a member, your responsibilities, and much more.

Download the 2022 OCC summary of benefits This is a summary, please see the OCC member handbook for the full benefits list.

2022 Annual Notice of Change Read the 2022 Annual Notice of Change.

2023 Annual Notice of Change (Updated 8/31/2022)

Download the 2022 OneCare Connect provider and pharmacy directory Use the Provider and Pharmacy Directory to find a doctor, specialist, pharmacy or other provider near you.

2022 OneCare Connect list of covered drugs (formulary) This includes criteria for prior authorization. It also has criteria for step therapy.

2022 Over-the-Counter (OTC) Catalog and Ordering Instructions Download the catalog. Learn how to order OTC items online, by phone or by mail.

Latest member newsletter Read tips to keep you and your family healthy

Common forms Find many of the forms you may need.

Other important documents See the OneCare Connect Plan Rating, Best Available Evidence Policy, Notice of Privacy Practices, Notice of Nondiscrimination, Annual Notices and other documents.

OneCare Connect Customer Service
You can contact us online or by phone, 24 hours a day, 7 days a week.
1-855-705-8823 Toll-free
711 TTY

Visit Us

Visit our office Monday through Friday from 8 a.m. to 5 p.m.
Walk-ins welcome.
We are closed on certain holidays.
Address, map and directions
We speak your language
Request interpreter services

To file a complaint with Medicare, click on the following link to complete a complaint form on the Medicare website: Medicare Complaint Form.

H8016_22WEB001_2022_A (Accepted 9/25/2021)

Disclaimers

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