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New: Over-the-Counter Benefit

Call Simpra Advantage at 1-844-637-4770 (TTY/TDD 1-833-312-0044). Or, call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048. En español: Llame a Simpra Advantage al 1-844-637-4770 (TTY/TDD 1-833-312-0044) o a … See more

Actived: 4 days ago

URL: https://simpra.com/over-the-counter-benefit/

2024 Over-the-Counter Item Catalog

WEB3 New!The OTC Health Solutions App Get the most out of your benefit using our mobile app! Simply download the OTC Health Solutions app from the App Store (iOS) or …

Category:  Health Go Health

Model of Care 2024

WEBQuality. Provides clear quality indicators and reporting progress to CMS. Monitors & works to continuously improve quality, appropriateness, and outcome of care. Supports and …

Category:  Health Go Health

Clinical Practice Guidelines

WEBThe following clinical practice guidelines are intended to support our health care team and serve as resources to ensure our providers have the most up-to-date, …

Category:  Health Go Health

For Prescribers and Pharmacies

WEBFor Pharmacies. Access Formulary and Prior Authorization Forms at Navitus. Select “Prescribers” and click on “Prior Authorization”. Enter your NPI number and State …

Category:  Health Go Health

Frequently Asked Questions (FAQs)

WEBIf you haven’t received your order or if you received a defective or damaged item, please call OTC Health Solutions at 1-888-628-2770 (TTY: 711) within 30 days of placing your …

Category:  Health Go Health

Join Our Network

WEBWe provide our members with exceptional benefits and an abundance of attention. And we believe Simpra Advantage providers deserve the same. Want to learn …

Category:  Health Go Health

Health plan guideline

WEBSkill in Place Health plan guideline Health Plan Guideline-Skill in Place_HPG01 Page 1 Guideline Information Scope Medicare Advantage Plan-ISNP Effective Date 2/17/23 …

Category:  Health Go Health

Organization Determination

WEBAn organization determination (OD) is a decision made by the Medicare Health Plan regarding: A limit on the number of items or services. This means Simpra …

Category:  Health Go Health

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