Senior Health Plan (HMO)
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Medicare Brokers - Forms and Resources

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  • 2026 Plan Year
  • 2025 Plan Year

2026 Forms and Resources

  • Medical & Pharmacy Plans
  • Medical Only Plans
  • Oklahoma Dual Complete
  • Individual Election Form
  • Plan Change Form
  • Scope of Appointment (pdf)
  • Summary of Benefitsupdated 10/14/2025
  • Evidence of Coverageupdated 11/10/2025
  • Senior Health Plan Star Rating
  • Protected Health Information (PHI) Authorization Form
  • Welcome Checklist for Onboarding Members

2026 Oklahoma Dual Complete Links

  • Service Area
  • Senior Health Plan Provider Directory
  • Find a Dentist
  • Comprehensive Formularyupdated 10/14/2025
  • Find a Pharmacy
  • Fitness Plus Benefit
  • Over-the-Counter (OTC) Benefit
  • Dental Benefits
  • Hearing Aid Benefit
  • Routine Vision & Eyewear
  • Non-emergency transportation
  • CancerCare
  • Senior Center
  • Health Risk Assessment


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Senior Health Plan is an HMO plan and a D-SNP plan with a Medicare & Medicaid contract. Enrollment in Senior Health Plan depends on contract renewal.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact www.medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. Medicare customer service representatives are available 24 hours a day, 7 days a week. TTY/TDD users should call 1-877-486-2048.

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