Plan Benefits

Evidence of Coverage

Formulary (printable) - Prescription Benefit out-of-network costs may be higher than in-network costs.

Formulary for plans with a Coverage Gap (Searchable)

Formulary for plans without a Coverage Gap (Searchable)

Formulary for plans with coverage for generic medications through the Coverage Gap (Searchable)

LIS Premium Summary Table

Medicare beneficiaries may enroll in Mercy MedicareADVANTAGE through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

Plan Benefits

Evidence of Coverage

Medicare beneficiaries may enroll in Mercy MedicareADVANTAGE through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.