- Version
- Download 12964
- File Count 20
- Last Updated October 1, 2025
DEVOTED GIVEBACK 012 NC (HMO) - H5299-012-000
DEVOTED GIVEBACK 002 NC (HMO) - H5299-002-000
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) - H5299-006-000
DEVOTED DUAL FULL 013 NC (HMO D-SNP) - H5299-013-000
DEVOTED DUAL 009 NC (HMO D-SNP) - H5299-009-000
DEVOTED CORE 001 NC (HMO) - H5299-001-000
DEVOTED CHOICE MA ONLY 007 NC (PPO) - H9700-007-000
DEVOTED CHOICE GIVEBACK 009 NC (PPO) - H9700-009-000
DEVOTED CHOICE GIVEBACK 006 NC (PPO) - H9700-006-000
DEVOTED CHOICE GIVEBACK 004 NC (PPO) - H9700-004-000
DEVOTED CHOICE GIVEBACK 002 NC (PPO) - H9700-002-000
DEVOTED CHOICE 008 NC (PPO) - H9700-008-000
DEVOTED CHOICE 005 NC (PPO) - H9700-005-000
DEVOTED CHOICE 003 NC (PPO) - H9700-003-000
DEVOTED CHOICE 001 NC (PPO) - H9700-001-000
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) - H5299-018-000
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) - H5299-017-000
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) - H5299-016-000
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) - H5299-014-000
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) - H5299-015-000