Plan Documents

Find 2024 specific plan documents or forms below:

Braven Medicare Choice (PPO)
Braven Medicare Freedom (PPO)

Hard Copy Request

You can request a hard copy version of our Evidence of Coverage (EOC), Formulary, Provider Directory or Pharmacy Directory.

Forms

Find In-Network Pharmacies

Search from more than 66,000 in-network pharmacies at Prime Therapeutics.

Select the type of plan you want from this dropdown menu.
Find A Pharmacy

Find Covered Prescription Drugs

Find formulary drugs, prior authorization, and step therapy at Prime Therapeutics.

Select the type of plan you want from this dropdown menu.
Find Drugs