Summary of Benefits
2022 Summary of Benefits
- Providence Medicare Bridge 1 + Rx (HMO-POS) (PDF)
- Providence Medicare Bridge 2 + Rx (HMO-POS) (PDF)
- Providence Medicare Choice + Rx 001 (HMO-POS) & Providence Medicare Choice + Rx 002 (HMO-POS) (PDF)
- Providence Medicare Compass + Rx (HMO-POS) (PDF)
- Providence Medicare Cottonwood + Rx (HMO-POS) (PDF)
- Providence Medicare Dual Plus (HMO D-SNP) (PDF)
- Providence Medicare Enrich + Rx (HMO) (PDF)
- Providence Medicare Extra + Rx 001 & Providence Medicare Extra + Rx 002 (HMO) (PDF)
- Providence Medicare Focus Medical (HMO) (PDF)
- Providence Medicare Harbor + Rx (HMO) (PDF)
- Providence Medicare Latitude + Rx (HMO-POS) (PDF)
- Providence Medicare Pine + Rx (HMO) (PDF)
- Providence Medicare Prime + Rx (HMO) (PDF)
- Providence Medicare Select Medical (HMO-POS) (PDF)
- Providence Medicare Summit + Rx (HMO-POS) (PDF)
- Providence Medicare Timber + Rx (HMO) (PDF)
Non-discrimination notice (PDF)
We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 1-800-603-2340 (TTY: 711).
Important contract information (PDF)
This notice states that Providence Medicare Advantage Plans and/or CMS may choose to terminate their contract with each other at any time in the future.