Skip to Main Content

Resources / Materials

  • 2020 Summary of Benefits  – English (PDF) - coming soon
  • 2020 List of Drugs (Formulary) – English (PDF) - coming soon
  • 2020 Annual Notice of Changes – English (PDF) - coming soon
  • 2020 MI H9487 MMP Member Handbook – English (PDF) - coming soon
  • 2020 Request for Medicare Prescription Drug Coverage Determination (PDF) - coming soon
  • Hospice Prior Authorization Form (PDF)
  • CVS Caremark Mail Order Form (PDF)
  • Homescript Mail Order Form (PDF)
  • Prescription Claim Form - English (PDF)

  • Your current plan may have an over-the-counter (OTC) benefit that lets you buy OTC health and wellness products. This catalog includes a list of OTC items that you can order to be mailed to your home. Check the catalog for item limits. 

    Ordering is easy. Just follow the steps in your plan's catalog. 

    • Over-the-Counter Catalog - English / Spanish (PDF) - coming soon

Healthy Moves is written with you in mind, to share important health information. You can find tips and timely topics to help you start or maintain your health. See below to get the newsletter in PDF for download.

Please note: By clicking on these links you will be leaving the Michigan Complete Health website.