2026 Plan Information

The information provided here is a summary of our plan, effective January 1, 2026.

Quick Links

Member Handbook – Evidence of Coverage (EOC)

Member Handbook (English)
Member Handbook (Spanish)

Combined Pharmacy/Provider Directory

Download Complete Pharmacy & Provider Directory (English)
Download Complete Pharmacy & Provider Directory (Spanish)
Download Complete Pharmacy & Provider Directory (Supplemental) (Spanish)

List of Covered Drugs (Formulary)

List of Covered Drugs (Formulary) (English)
List of Covered Drugs (Formulary) (Spanish)

Summary of Benefits

2026 Summary of Benefits (English)
2026 Summary of Benefits (Spanish)

Over-the Counter (OTC) Benefit

2026 Over-the-Counter (OTC) Product Catalog (English)

This document is still under review. A version in Spanish will be added soon. In the meantime, language assistance services are provided by our team 24/7, free of charge. Call 1-888-484-1412 (TTY: 711), 24 hours a day, 7 days a week. The call is free.

Extra Help

Extra Help/Low-Income Subsidy (LIS) (English)

Forms

Enrollment Request Form (English)
Enrollment Request Form (Spanish)

Appointment of Representative Form (English)
Appointment of Representative Form (Spanish)

CMS Part D Coverage Determination Request Form (English)

CMS Part D Coverage Redetermination Request Form (English)

MedImpact Part D Coverage Determination Form (English)

Disclaimers

Community Advantage Plus (HMO D-SNP) is an HMO D-SNP health plan with a Medicare contract and a contract with the Medi-Cal program. Enrollment in Community Advantage Plus depends on contract renewal.

ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-484-1412 (TTY: 711), 24 hours a day, 7 days a week. The call is free.

ATENCIÓN: Si habla español, hay servicios de asistencia de idiomas disponibles sin cargo. Llame al 1-888-484-1412 (TTY: 711). Las llamadas a estos números son gratuitas.