Summary of Benefits
2025 Summary of Benefits
- Providence Medicare Bridge + Rx (HMO-POS) (PDF)
- Providence Medicare Choice + Rx (HMO-POS) (PDF)
- Providence Medicare Cottonwood + Rx (HMO-POS) (PDF)
- Providence Medicare Cottonwood + Rx (HMO-POS) Spanish (PDF)
- Providence Medicare Dual Plus (HMO D-SNP) (PDF)
- Providence Medicare Dual Plus (HMO D-SNP) Spanish (PDF)
- Providence Medicare Dual Plus (HMO D-SNP) Vietnamese (PDF)
- Providence Medicare Dual Plus (HMO D-SNP) Russian (PDF)
- Providence Medicare Extra + Rx (HMO) (PDF)
- Providence Medicare Focus Medical (HMO) (PDF)
- Providence Medicare Pine + Rx (HMO) (PDF)
- Providence Medicare Pine + Rx (HMO) Spanish (PDF)
- Providence Medicare Prime + Rx (HMO) (PDF)
- Providence Medicare Reverence (HMO-POS) (PDF)
- Providence Medicare Sycamore + Rx (HMO) (PDF)
- Providence Medicare Sycamore + Rx (HMO) Spanish (PDF)
- Providence Medicare Sycamore + Rx (HMO) Vietnamese (PDF)
- Providence Medicare Timber + Rx (HMO) (PDF)
We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 1-800-603-2340 (TTY: 711).
Multi-language insert (PDF) Updated 4/26/23
This notice states that Providence Medicare Advantage Plans and/or CMS may choose to terminate their contract with each other at any time in the future.