H5989 Plan Documents
Annual Notice of Change
(ANOC)
Formulario
Low Income Subsidy (LIS) Premium Table
Multi-Language Interpreter Services
Medicare Plan Ratings
Appeal/Redetermination Request Form
Prior Authorization Criteria
Step Therapy Criteria
Health Pointe Direct Complete Plan (HMO I-SNP) is a Health Plan with a Medicare Contract. Enrollment in Health Pointe HMO I-SNP depends on contract renewal.
CMS Material ID: H5989_HPweb2019 | Last updated 12/10/2019