Plan Documents & Forms
Find our resource library below for Individual and Community plans.
-
2026 Abilis Health Plan – Evidence of Coverage
-
2026 Abilis Health Community – Evidence of Coverage
-
2026 Abilis Health Community Plan Summary of Benefits
-
2026 Abilis Health Plan Summary of Benefits
-
2026 Annual Notice of Change Advantage Plan
-
2026 Annual Notice of Change Community Plan
-
2026 Authorizations Table
-
2026 Notice of Availability
-
2026 Notice of Privacy (HIPAA)
-
Frequently Asked Questions
-
Medicare Star Ratings
-
OTC On-line Ordering Form
-
2025 Likely to Benefit Notice
-
2026 Likely to Benefit Notice
-
Comprehensive Formulary, Covered Drugs for 2026
-
Find a Drug
-
Medicare Prescription Payment Plan Fact Sheet
-
Medication Therapy Management (MTM) Program
-
Opioid Education from the CDC
-
Part D Step Therapy Limits, 2026
-
Prescription Prior Authorization Criteria
-
2025 Prescription Drug Transition Policy
-
2026 Anti-Discrimination Notice & Multi-Language Interpreter
-
2025 File a Grievance
-
2025 File an Appeal
-
2026 LIS Premium Summary
-
2026 Notice of Availability
-
2026 Notice of Privacy (HIPAA)
-
2026 Prescription Drug Transition Policy
-
Code of Conduct
-
Appointment of a Representative
-
Customer Experience Survey 2026
-
Election Request Form
-
Medicare Prescription Drug Determination Request Form
-
Medicare Prescription Drug Redetermination (Appeals) Request Form
-
Medicare Prescription Payment Plan Opt-In Form
-
Online Coverage Determination (PromptPA)
-
OTC On-line Ordering Form
-
Pharmacy Direct Member Reimbursement Form
* Formulary Drugs (Comprehensive, Prior Authorization, and Step Therapy) files are pending CMS approval. Once CMS approval is received, we will promptly update these files on the site.