2012 Healthfirst NJ Medicare Plan Member Materials & Form
(Please note: 2012 plan materials and forms are posted as they become available.)
| General Prescription Drug (Part D) Information | |
| Formulary | |
| Prescription Drug Prior Authorization, Quantity Limit & Step Therapy Listings | |
| More on Healthfirst Medicare Prescription Drug Coverage |
| Healthfirst NJ Medicare Plan Forms | |
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(English) |
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Coverage Determination Form |
(English) |
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| Advanced Directives Form |
(English) |
| Plan Name | Summary of Benefits | Evidence of Coverage |
| Medicare Plus Plan (HMO) | (English / Spanish) | (English / Spanish) |
| Coordinated Benefits Plan (HMO) | (English / Spanish) | (English / Spanish) |
| Increased Benefits Plan (HMO) | (English / Spanish) | (English / Spanish) |
| Maximum Plan (HMO SNP) | (English / Spanish) | (English / Spanish) |
Page Last Updated 1/02/2012
