2017 Member Materials

The list below includes links to a variety of materials that members receive for each of the Medicare Advantage plans that VNSNY CHOICE offers. Just select the materials you want, and you will be able to view or download them. You may also obtain a printed copy of any CHOICE Medicare Member Materials by calling 1-866-783-1444, Monday – Friday, 8 am – 8 pm (TTY for the hearing impaired: 711).

Summary of Benefits (English, Spanish, and Chinese
Member Handbook (EnglishSpanish, and Chinese
Annual Notice of Change (English, Spanish, and Chinese

Summary of Benefits (English, Spanish, and Chinese
Member Handbook (English, Spanish, and Chinese
Annual Notice of Change (English, Spanish, and Chinese

Summary of Benefits (EnglishSpanish, and Chinese
Member Handbook (English and Spanish
Annual Notice of Change (English and Spanish

CHOICE Medicare Plan Materials
Drug Formulary (English/Spanish) - Approved Formulary Submission ID Number: 17077.000, Version 12
      - Formulary Changes: May 2017
      - Formulary Changes: July 2017
      - Step Therapy Requirements
     - Prior Authorization Requirements
- VNSNY CHOICE Medicare Brochure (EnglishSpanish, and Chinese)  
- Nutrition Counseling Benefit Brochure (English)
- Low-Income Subsidy Plan Premiums (English and Spanish
- Best Available Evidence: If you believe you qualify for extra help with your prescription drug coverage and you want more information about eligibility, you can view Medicare's Best Available Evidence (BAE) policy requirements by clicking here.
Prescription Drug Transition Policy
- 2017 Medicare Star Ratings - VNSNY CHOICE Health Plans (EnglishSpanish, and Chinese
- Authorization for Release of Health Information (English and Spanish)
- Your Prescription Mail Order Form/Brochure (English)

Combined Provider & Pharmacy Directory 
Brooklyn and Staten Island
Bronx and Westchester
Queens, Nassau, Suffolk 
Capital Area (Albany, Saratoga, Schenectady, Rensselaer) for VNSNY CHOICE Classic and VNSNY CHOICE Preferred

Provider and Pharmacy Directory Notice 

VNSNY CHOICE Medicare Member Newsletters

Spring 2017 (English and Spanish)
Fall 2016/Winter 2017 (English
Summer 2016 (English)
Summer 2015 (English and Spanish)
Spring 2015 (English and Spanish)
Summer/Fall 2014 (English and Spanish
Spring 2014 (English and Spanish
Summer 2013 (English and Spanish
Spring 2013 (English and Spanish)
Fall 2012 (English and Spanish

This is a Medicare-related page; some of the links will take you to non-Medicare information or to a different website. 

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Last updated 5/1/2017

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