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Request Medicare Member Materials

To request a hard copy of an Evidence of Coverage (EOC), Delta Dental Certificate of Insurance (COI), provider directory or formulary, please fill out the form below and we will send it to you.

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["https://enterprise.sapphirethreesixtyfive.com/?ci=SummaCareMedicare","https://enterprise.sapphirethreesixtyfive.com/?ci=SummaCareMedicare&network_id=15&geo_location=&locale=en","https://summacareweb.healthsparq.com/healthsparq/public/#/one/insurerCode=SCCR_I&brandCode=SCCR&productCode=PRODMC&postalCode","https://summacareweb.healthsparq.com/healthsparq/public/#/one/insurerCode=SCCR_I&brandCode=SCCR&productCode=PRODMC&postalCode=","https://summacareweb.healthsparq.com/healthsparq/public/#/one/insurerCode=SCCR_I&brandCode=SCCR&productCode=PRODMK&postalCode=","https://enterprise.sapphirethreesixtyfive.com/?ci=SummacareIndividual-Family","https://client.formularynavigator.com/Search.aspx?siteCode=3822601471","https://client.formularynavigator.com/Search.aspx?siteCode=7139238863","https://client.formularynavigator.com/Search.aspx?siteCode=3184374974","https://openenrollment.medimpact.com/#/plancode?SUM032021PL","https://openenrollment.medimpact.com/#/web/sum/pharmacy"]
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[{"RootId":"a7b694b6-2900-400a-abd1-35cff4b9f3ce","RootUrl":"/medicare/understanding-medicare/glossary/"},{"RootId":"bb4c888a-5dd6-4576-bf4c-88afff4f77ef","RootUrl":"/medicare/understanding-medicare/faqs/"}]