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Plan Documents


Looking for a form or more details about your plan? Start here. And if you can't find something, call us at 1-800-DEVOTED (1-800-338-6833), TTY 711.

Benefit and Coverage Details

When you need to dig into the nitty gritty, you can review your Summary of Benefits, Evidence of Coverage, and other plan information.

See Benefit and Coverage Details

Forms

Want to sign up for a plan? Need to share your health information with a loved one? We've got forms for all that and more.

Find a Form

Your Coverage Rights

When things don't go as planned, you have the right to ask for a coverage decision, file an appeal, or make a complaint.

Know Your Rights