On this page, you will find important documents pertaining to El Paso Health Advantage Dual SNP (HMO D-SNP).
Please click on any of the links below to download a PDF copy.
Annual Notice of Change
The Annual Notice of Change provides information of our 2021 plan benefit changes.
Enrollment Form
Use this form to enroll in El Paso Health Advantage Dual SNP
- 2021 Enrollment Form
- 2021 Enrollment Form – Version en Espaol
- 2022 Enrollment Form
- 2022 Enrollment Form – Version en Espaol
Summary of Benefits
The Summary of Benefits outlines your plan benefits for the current calendar year.
Evidence of Coverage
The Evidence of Coverage (EOC) explains your rights, benefits, and responsibilities as a Member ofEl Paso Health Advantage Dual SNP (HMO D-SNP).
Provider Directory
The Provider Directory outlines your plan’s network of Primary Care Providers, Specialists, Hospitals, Skilled Nursing Facilities, Outpatient Mental Health Providers,DMEs, Dental, andVision Provider contacts.
Pharmacy Directory
The Pharmacy Directory provides a list of your plan’s network pharmacies.
- 2021 Pharmacy Directory
- 2021 Pharmacy Directory – Version en Espaol
- 2022 Pharmacy Directory
- 2022 Pharmacy Directory – Version en Espaol
Formularies (Drug List)
The Formulary provides you with a list of drugs you may need.
Comprehensive Formulary (Drug List)
*Printed copies of information posted on our website are available upon request.
If you have questions, please call El Paso Health Advantage Dual SNP Member Services toll free at 1-833-742-3125 (TTY 711).
We are available:
- October 1 – March 31, 8 a.m. to 8 p.m. Mountain Time (MT) daily.
- April 1 – September 30, 8 a.m. to 8 p.m. Mountain Time (MT) Monday through Friday.
