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Medicare documents

Medicare Advantage plan documents

Plan information

Documents detailing your plan's coverage.

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Plan forms

Forms to change or disenroll from your plan, request a reimbursement, or enroll in an electronic funds transfer.

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Privacy practices and additional information

Understand how your information is protected and how to assign an appointed representative.

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Part C — medical benefits

Part C coverage information

Understand how a coverage decision is handled or request a prior authorization.

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Part C appeals and grievances

Learn more about the medical appeals process or file a grievance.

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Medicare Advantage medical, claims, and technology policies and bulletins

View our medical and claim payment policy bulletins.

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Part D — prescription drugs

Part D coverage information

Understand how your prescription drug coverage works or request coverage approval.

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Part D appeals and grievances

Learn more about the Part D appeals process or file a grievance.

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Medication Therapy Management

IBX offers a Medication Therapy Management (MTM) program to ensure that you receive the most effective medications.

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Website last modified: 6/5/2025