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.