2019 Evidence of Coverage

Signature With Drugs

Learn the details about your Medicare, healthcare and prescription drug coverage for the year.

Signature With Drugs
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Signature Without Drugs

Learn the details about your Medicare, healthcare and prescription drug coverage for the year.

Signature Without Drugs
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Download the Spanish Language Version Signature Without - Drugs PDF Opens in a new window


Champion Plan

Learn the details about your Medicare, healthcare and prescription drug coverage for the year.

Champion Plan
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Download the Spanish Language Version Champion Plan - PDF Opens in a new window


Freedom Plan

Learn the details about your Medicare, healthcare and prescription drug coverage for the year.

Freedom Plan
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Guardian Plan

Learn the details about your Medicare, healthcare and prescription drug coverage for the year.

Guardian Plan
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Download the Spanish Language Version Guardian Plan - PDF Opens in a new window


This information is not a complete description of benefits.
Call 1-866-314-8188 TTY 711, for more information.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan's contract renewal with Medicare.

You must continue to pay your Medicare Part B premium.

For more information on Erickson Advantage, just stop by the office Monday through Friday 8:30 a.m.-5:00 p.m. or call 1-866-774-9671, TTY: 711. 8 a.m. - 8 p.m. local time, 7 days a week.

This information is available for free in other languages. Please call our customer service number at 1-866-314-8188, TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week.

Esta información está disponible sin costo en otros idiomas. Comuníquese con nuestro Servicio al Cliente al número 1-866-314-8188, TTY 711, de 8 a.m. – 8 p.m. hora local, los 7 días de la semana.

Please read the UnitedHealthcare Non-Discrimination Notice.

Language Assistance/Non-Discrimination Notice