Request Printed Materials

To request an easy-to-understand guide about our Community CCRxSM Medicare Part D Prescription Drug Plans (PDP) in English or Spanish, use the link below to access the request form.

You will receive:
  • Plan Guide
  • Summary of Benefits
  • Enrollment form and other key forms

If you have trouble using the online form, please contact Customer Service at 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day.