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Call Us: 1-866-250-2005 (TTY/TDD 711)
EnvisionRx Plus Enrollment Request - Plan Information

First, before you enroll, there are a few things we would like to share with you.

Please note EnvisionRx Plus Silver is a PDP with a Medicare contract. Enrollment in EnvisionRx Plus depends on contract renewal. Benefits, formulary, pharmacy network, premium, and/or co-payments/co-insurance may change on January 1st of each year.

Members may enroll in the plan only during specific times of the year. Contact EnvisionRx Plus Member Services for more information.

If you require a medication that is not on the EnvisionRx Plus formulary and you cannot use a formulary alternative, or if you require an exception to one of our utilization management rules or tiered cost sharing, you have the right to request a coverage determination. The coverage determination process is outlined in the Grievances, Coverage Determinations, & Appeals policy.

This information is available for free in other languages. Please call our customer service number at 1-866-250-2005. TTY/TDD users call 711. We are available 24 hours a day, 7 days a week.

Esta información está disponible gratis en otros lenguajes. Por favor de llame nuestro servico al cliente al número 1-866-250-2005. Los usuarios de TTY/TDD llama al 711. Estamos disponible 24 horas al día, 7 días de la semana.

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