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Medicare Brokers - Forms and Resources

Request materials: Medicare Advantage Materials Request Form

2025 Plan Year
2024 Plan Year

2025 Forms and Resources

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Platinum Plus
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Oklahoma Dual Complete

Individual Election Form
Scope of Appointment (online)
Scope of Appointment (pdf)
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Evidence of Coverage - MA only
Senior Health Plan Star Rating
Protected Health Information (PHI) Authorization Form
Welcome Checklist for Onboarding Members

2025 Silver Links

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Senior Health Plan Provider Directory
Find a Dentist
Wallet Benefit
Over-the-Counter (OTC) Benefit
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Hearing Aid Benefit
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Non-emergency transportation
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