Formulary - Great Plains Medicare Advantage

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Great Plains Medicare Advantage

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Health Plan
Eligibility
& Enrollment
Member
Resources
Providers
& Partners
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About the
Health Plan
Eligibility
& Enrollment
Member
Resources
Providers
& Partners

Formulary

To view the latest formulary see Member Materials within the Member Resource page.

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Customer Service Phone

1-844-637-4760 (TTY 888-279-1549)
Mon-Fri, 8:00 am - 8:00 pm CST
All calls to this number all toll free.
Fax 605-312-8237

Mail

Great Plains Medicare Advantage
PO Box 91110
Sioux Falls, SD 57109

Compliance

To report potential fraud, waste, and abuse, please call the anonymous Compliance Hotline or email Sanford Health Plan Compliance.

Phone: 1-877-473-0911 (TTY:711)
Email: SHPCompliance@SanfordHealth.org

Notices & Disclaimers

Great Plains Medicare Advantage is an HMO I-SNP with a Medicare contract. Enrollment in Great Plains Medicare Advantage depends on contract renewal. Great Plains Medicare Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Every year, Medicare evaluates plans based on a 5-Star rating system.

CMS ID Number: Y0128_Website | Last Updated On: December 30, 2021 at 12:43 PM

© Great Plains Medicare Advantage 2023 All rights reserved. Privacy Policy

2021 Enrollment Documents

Nebraska

Star Rating
Summary of Benefits I-SNP
Summary of Benefits GOLD

North Dakota

Summary of Benefits I-SNP
Summary of Benefits GOLD

South Dakota

Summary of Benefits I-SNP
Summary of Benefits GOLD

Medicare Complaint Form

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2020 Enrollment Documents

Pre-Enrollment Checklist

North Dakota

I-SNP Summary of Benefits
I-SNP GOLD Summary of Benefits
Multi-Language Insert
Notice of Non-Discrimination

Nebraska

I-SNP Summary of Benefits
I-SNP GOLD Summary of Benefits
Multi-Language Insert
Notice of Non-Discrimination
Star Rating

South Dakota

I-SNP Summary of Benefits
I-SNP GOLD Summary of Benefits
Multi-Language Insert
Notice of Non-Discrimination

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