Documents and Materials
EFFECTIVE 3/1/2023 - 2/28/2024 MEDICARE SUPPLEMENT PLAN MATERIALS
- Application for a Medicare Supplement Policy (PDF)
- 2022 Outline of Coverage (PDF)
- 2023 Outline of Coverage (PDF)
- Automatic Bank Draft Form (PDF)
- Disenrollment Form (PDF)
- Health Net Medigap Plans Pre-Enrollment Guide (PDF)
- Choosing a Medigap Policy (PDF)
- 2022 Medicare Supplement Guaranteed Issue Guide (PDF)
- 2023 Medicare Supplement Guaranteed Issue Guide (PDF)
- 2022 Combined Acupuncture and Chiropractic Care (PDF)
- 2023 Combined Acupuncture and Chiropractic Care (PDF)
- Medicare Supplement Replacement of Coverage (PDF)
- 2022 The Silver&Fit® Healthy Aging and Exercise Program (PDF)
- 2023 The Silver&Fit® Healthy Aging and Exercise Program (PDF)
- 2022 Decision Power Healthy Discounts (PDF)
- 2023 Decision Power Healthy Discounts (PDF)
- Optional Standard PPO Dental Brochure (PDF)
- Optional Standard PPO Dental Plan Application (PDF)