Medicare Forms and Product Materials

Presbyterian Senior Care (HMO)

2012 Summary of Benefits

• Presbyterian Senior Care (HMO) Plan 1
• Presbyterian Senior Care (HMO) Plan 2 with Rx
• Presbyterian Senior Care (HMO) Plan 3 with Rx

Our 2012 Providers and Pharmacy Information

• Presbyterian Senior Care (HMO) Provider and Pharmacy Directory
• Presbyterian Senior Care (HMO) Formulary

2012 Evidence of Coverage Member Handbooks

• Presbyterian Senior Care (HMO) Plan 1
• Presbyterian Senior Care (HMO) Plan 2 and 3 with Rx

Forms

• 2012 Presbyterian Senior Care (HMO) Enrollment Form

 Presbyterian MediCare PPO (Preferred Provider Organization)

2012 Summary of Benefits

• Presbyterian MediCare PPO Plan 1
• Presbyterian MediCare PPO Plan 2 with Rx
• Presbyterian MediCare PPO Plan 3 with Rx

Our 2012 Providers and Pharmacy Information

• Presbyterian MediCare PPO Provider and Pharmacy Directory
• Presbyterian MediCare PPO Formulary

2012 Evidence of Coverage Member Handbooks

•  Presbyterian MediCare PPO Plan 1
•  Presbyterian MediCare PPO Plan 2 and Plan 3 with Rx

Forms

• 2012 PPO Enrollment Instructions and Enrollment Form