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

Annual Notice of Change

The Annual Notice of Change details the changes in plan benefits between 2021 and 2022. Choose your plan below to learn how your current coverage will change in the upcoming 2022 plan year.

Note: You must have Adobe Reader version 5.0 or higher installed on your computer in order to view and print the above file properly.

Compare Plans and Enroll

Enroll Now

Enrolling online is the fastest and easiest way to get into the TEAMStar Medicare Part D Plan of your choice. Click the 'Enroll' button below to get started!

Contact Us

Contact Us

For your Medicare Part D questions and needs, please let us know how we can assist you.


Drug Lookup and Pricing

Search for drugs covered on our Formulary and find out your costs.