Evidence of Coverage

The Evidence of Coverage provides details about TEAMStar Medicare Part D Prescription Drug Program (PDP).

Highlights include:

• Using the plan's coverage
• What you pay for your Part D prescription drugs
• Contact information
• Your rights and responsibilities
• What to do if you have a problem or complaint
• How to end your membership in the plan

Evidence of Coverage Form

Evidence of Coverage

Saver Plan Evidence of Coverage Form

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