Member Resources for Group Medicare Plans
You can find information about your 2026 HealthSpring Group Medicare plan benefits and coverage, drug list and more helpful tools and forms.
Group Medicare Member Resources
Group Medicare Provider Network
You can search the provider directory to find in-network doctors, dentists and other health care facilities near you.
Or choose your state to find your plan to download or print your provider and pharmacy directory
Group Medicare Advantage Plans (MA/MAPD)
Group Medicare Advantage Plan Documents
HealthSpring True Choice (PPO) 2026 Evidence of Coverage [PDF]
HealthSpring True Choice (PPO) 2026 Evidence of Coverage - Premier Access 5 Tier [PDF]
HealthSpring True Choice Core (PPO) 2026 Evidence of Coverage [PDF]
HealthSpring Preferred (HMO) 2026 Evidence of Coverage [PDF]
HealthSpring Preferred (HMO) 2026 Evidence of Coverage - Arizona Only [PDF]
Updated 10/01/2025
2026 Transition Policy for HealthSpring Medicare Advantage Group Plans [PDF]
2026 Transition Policy for HealthSpring Medicare Advantage Group Plans - Arizona Only [PDF]
Updated 10/01/2025
Star Ratings
2026 Star Ratings for HealthSpring True Choice Medicare (PPO) - H7787 [PDF]
2026 Star Ratings for HealthSpring Preferred Medicare with Rx (HMO) [PDF]
2026 Star Ratings for HealthSpring Preferred Medicare with Rx (HMO) - Arizona Only [PDF]
Updated 10/23/2025
Group Medicare Advantage Additional Resources
Part B vs. Part D Coverage [PDF]
Direct Member Reimbursement (DMR) Claim Form [PDF]
Pharmacy Reimbursement Claim Form [PDF]
Understand the Medicare Prescription Payment Plan [PDF]
Calculate your estimated monthly payments or opt-in online.
Updated 10/23/2025
Group Medicare Part D Plans
Group Medicare Part D Plans
HealthSpring Rx Medicare (PDP) 2026 Evidence of Coverage [PDF]
Updated 10/01/2025
2026 Transition Policy for HealthSpring Medicare Prescription Drug Group Plans [PDF]
Updated 10/01/2025
Group Medicare Part D Additional Resources
Part B vs. Part D Coverage [PDF]
Pharmacy Reimbursement Claim Form (PDP) [PDF]
Understand the Medicare Prescription Payment Plan [PDF]
Calculate your estimated monthly paymentsor opt-in online.
Updated 10/01/2025
Group Medicare Plans Drug Lists
Complete Drug List Formulary
Group Medicare Premier Access 5 Tier 2026 Drug List [PDF]
Group Medicare Premier Access 4 Tier 2026 Drug List [PDF]
Group Medicare Premier Access 3 Tier 2026 Drug List [PDF]
Group Medicare Enhanced 2026 Drug List [PDF]
Group Medicare Standard 2026 Drug List [PDF]
Group Medicare Basic 2026 Drug List [PDF]
Group Medicare Basic 2026 Drug List - Arizona Only [PDF]
Updated 10/01/2025
Group Medicare Policies and Criteria
Prior Authorization Criteria
2026 Group Medicare Prior Authorization Criteria Premier Access [PDF]
2026 Group Medicare Prior Authorization Criteria Enhanced [PDF]
2026 Group Medicare Prior Authorization Criteria Standard [PDF]
2026 Group Medicare Prior Authorization Criteria Basic [PDF]
Updated 10/01/2025
Step Therapy Criteria
2026 Group Medicare Step Therapy Criteria Premier Access [PDF]
2026 Group Medicare Step Therapy Criteria Enhanced [PDF]
2026 Group Medicare Step Therapy Criteria Standard [PDF]
2026 Group Medicare Step Therapy Criteria Basic [PDF]
2026 Group Medicare Step Therapy – Part B Drugs [PDF] Effective 01/01/2026
Updated 10/01/2025
Still have questions about your group Medicare plan? We’re here to help. Call us at the phone numbers below listed for your plan.
Please note, your call may be answered by our automated phone system on weekends, holidays and after hours.
Speak a language other than English? Language assistance services are available for free:
Group Medicare Advantage plan members, call us at
Group Medicare Advantage HMO plan members in Arizona, call us at
Group Medicare Part D plans members, call us at
October 1 – March 31: 8 a.m. – 8 p.m. local time, 7 days a week.
April 1 – September 30: 8 a.m. – 8 p.m. local time, Monday – Friday.
Our automated phone system may answer your call during weekends, holidays and after hours.