Member Resources for Group Medicare Plans
You can find information about your HealthSpring Group Medicare plan benefits and coverage, drug list and more helpful tools and forms.
Group Medicare Member Resources
Group Medicare Provider Network
You can search the provider directory to find in-network doctors, dentists and other health care facilities near you.
Or choose your state to find your plan to download or print your provider and pharmacy directory
Group Medicare Advantage Plans (MA/MAPD)
Document for year:
Group Medicare Advantage Plan Documents
HealthSpring True Choice (PPO) 2026 Evidence of Coverage
HealthSpring True Choice (PPO) 2026 Evidence of Coverage - Premier Access 5 Tier
HealthSpring True Choice Core (PPO) 2026 Evidence of Coverage
HealthSpring Preferred (HMO) 2026 Evidence of Coverage
HealthSpring Preferred (HMO) 2026 Evidence of Coverage - Arizona Only
Updated 10/01/2025
2026 Transition Policy for HealthSpring Medicare Advantage Group Plans
2026 Transition Policy for HealthSpring Medicare Advantage Group Plans - Arizona Only
Updated 10/01/2025
Group Medicare Advantage Plan Documents
HealthSpring True Choice (PPO) 2027 Evidence of Coverage
HealthSpring True Choice (PPO) 2027 Evidence of Coverage - Premier Access 5 Tier
HealthSpring True Choice Core (PPO) 2027 Evidence of Coverage
HealthSpring Preferred (HMO) 2027 Evidence of Coverage
HealthSpring Preferred (HMO) 2027 Evidence of Coverage - Arizona Only
Updated 10/01/2026
2027 Transition Policy for HealthSpring Medicare Advantage Group Plans
2027 Transition Policy for HealthSpring Medicare Advantage Group Plans - Arizona Only
Updated 10/01/2026
Group Medicare Advantage Additional Resources
Passport to Health for Group Medicare Members
Chain Pharmacy Listing - Broad/Performance Networks
Chain Pharmacy Listing - Preferred Network
Direct Member Reimbursement (DMR) Claim Form
Pharmacy Reimbursement Claim Form
Understand the Medicare Prescription Payment Plan
Calculate your estimated monthly payments or opt-in online.
Health and Wellness Center - healthy living articles and resources
Find Community Resources and Assistance Programs
Updated 10/01/2026
Group Medicare Part D Plans
Document for year:
Group Medicare Part D Plans
HealthSpring Rx Medicare (PDP) 2026 Evidence of Coverage
Updated 10/01/2025
2026 Transition Policy for HealthSpring Medicare Prescription Drug Group Plans
Updated 10/01/2025
Group Medicare Part D Plans
HealthSpring Rx Medicare (PDP) 2027 Evidence of Coverage
Updated 10/01/2026
2027 Transition Policy for HealthSpring Medicare Prescription Drug Group Plans
Updated 10/01/2026
Group Medicare Part D Additional Resources
Chain Pharmacy Listing - Broad/Performance Networks
Chain Pharmacy Listing - Preferred Network
Pharmacy Reimbursement Claim Form (PDP)
Understand the Medicare Prescription Payment Plan
Calculate your estimated monthly paymentsor opt-in online.
Health and Wellness Center - healthy living articles and resources
Find Community Resources and Assistance Programs
Updated 10/01/2026
Group Medicare Plans Drug Lists
Document for year:
Complete Drug List Formulary
Group Medicare Premier Access 5 Tier 2026 Drug List
Group Medicare Premier Access 4 Tier 2026 Drug List
Group Medicare Premier Access 3 Tier 2026 Drug List
Group Medicare Enhanced 2026 Drug List
Group Medicare Standard 2026 Drug List
Group Medicare Basic 2026 Drug List
Group Medicare Basic 2026 Drug List - Arizona Only
Updated 09/01/2026
Complete Drug List Formulary
Group Medicare Premier Access 5 Tier 2027 Drug List
Group Medicare Premier Access 4 Tier 2027 Drug List
Group Medicare Premier Access 3 Tier 2027 Drug List
Group Medicare Enhanced 5 Tier 2027 Drug List
Group Medicare Enhanced 4 Tier 2027 Drug List
Group Medicare Enhanced 3 Tier 2027 Drug List
Group Medicare Standard 5 Tier 2027 Drug List
Group Medicare Standard 4 Tier 2027 Drug List
Group Medicare Basic 2027 Drug List
Group Medicare Basic 2027 Drug List - Arizona Only
Updated 10/01/2026
Group Medicare Policies and Criteria
Document for year:
Prior Authorization Criteria
2026 Group Medicare Prior Authorization Criteria Premier Access
2026 Group Medicare Prior Authorization Criteria Enhanced
2026 Group Medicare Prior Authorization Criteria Standard
2026 Group Medicare Prior Authorization Criteria Basic
Updated 09/01/2026
Step Therapy Criteria
2026 Group Medicare Step Therapy Criteria Premier Access
2026 Group Medicare Step Therapy Criteria Enhanced
2026 Group Medicare Step Therapy Criteria Standard
2026 Group Medicare Step Therapy Criteria Basic
2026 Group Medicare Step Therapy – Part B Drugs Effective 10/01/2026
Updated 09/01/2026
Prior Authorization Criteria
2027 Group Medicare Prior Authorization Criteria Premier Access
2027 Group Medicare Prior Authorization Criteria Enhanced
2027 Group Medicare Prior Authorization Criteria Standard
2027 Group Medicare Prior Authorization Criteria Basic
Updated 10/01/2026
Step Therapy Criteria
2027 Group Medicare Step Therapy Criteria Premier Access
2027 Group Medicare Step Therapy Criteria Enhanced
2027 Group Medicare Step Therapy Criteria Standard
2027 Group Medicare Step Therapy Criteria Basic
2027 Group Medicare Step Therapy – Part B Drugs Effective 01/01/2027
Updated 10/01/2026
Still have questions about your group Medicare plan? We’re here to help. Call us at the phone numbers below listed for your plan.
Please note, your call may be answered by our automated phone system on weekends, holidays and after hours.
Speak a language other than English? Language assistance services are available for free:
Group Medicare Advantage plan members, call us at
Group Medicare Advantage HMO plan members in Arizona, call us at
Group Medicare Part D plans members, call us at
October 1 – March 31: 8 a.m. – 8 p.m. local time, 7 days a week.
April 1 – September 30: 8 a.m. – 8 p.m. local time, Monday – Friday.
Our automated phone system may answer your call during weekends, holidays and after hours.