2027 Plan Information and Resources
Welcome to MyTruAdvantage—Indiana’s own Medicare Advantage plan, founded by local doctors and hospitals and designed around you. As a member, we want to make sure you have the information you need to make the most of your plan. From plan documents with details about what’s included in your plan, to commonly used forms and more, we’ve provided the resources below to make it easy to start using your plan.
Click below to view your plan documents, access commonly used forms or learn about important resources.
- Enrollment Form
- Enrollment Attestation
- Summary of Benefits
- Star Rating Documents
- Select (HMO) ANOC
- Select (HMO) EOC
- Choice Plus (PPO) ANOC
- Choice Plus (PPO) EOC
- Choice Complete (PPO) ANOC
- Choice Complete (PPO) EOC
- Red, White and Tru (PPO) ANOC
- Red, White and Tru (PPO) EOC
- Online Provider Directory
- Provider Directory (PDF)
- Low-Income Subsidy
- Prior Authorization Metrics (PDF)
- Notice of Availability
- Non-Discrimination Notice
- Notice of Privacy Practices
- Online Formulary
- Formulary (PDF)
- Pharmacy and Drug Price Search
- Pharmacy Directory (PDF)
- Diabetic Supply Coverage
- Part B Drug List - Prior Authorization
- Part D Coverage Determination Form
- Part D Drug List - Prior Authorization
- Part B Step Therapy
- Part D Step Therapy
- Medication Therapy Management
- Mail Order Pharmacy - Birdi
- Mail Order Form - Birdi
- Medicare Prescription Payment Plan
