Montana Members
Medicare Advantage
Montana Members
Our plans come with prescription drug coverage and are backed by proven personal service and the expertise of physicians whose top priority is your health. Clear Choice Health Plans is a health plan with a Medicare contract.
Carefree Medicare.
Member Handbook
Plans With Rx Coverage
View details about your Medicare health and Part D prescription drug coverage and how to get the care you need.
Common Tasks
Find a Doctor
Use our Online Provider Directory to assist you in finding the Health Care provider that best suits your needs.
Drug Search
Use our drug search to see if your prescription drug is a covered drug, if your prescription is a generic or brand-name drug, and if any special restrictions apply.
Pharmacy Search
Use our searchable pharmacy directory to locate a contracted pharmacy near you.
Frequently Asked Questions
Medicare Part D Rx
Find out what you pay for covered prescriptions, how out-of-pocket costs are calculated, who can pay for your prescriptions, and if you qualify for extra help.
Pharmacy
Learn more about using network pharmacies, how to fill a prescription, mail order services, filling prescriptions when you are traveling or outside the area, and how to submit a paper claim.
Formulary (Listing of Covered Drugs)
Learn more about our formulary, drug tiers, whether the formulary can change, and what do if your drug is not on our formulary.
Medical Coverage Grievance & Appeals
Learn more about what to do if you have a compliant about your medical coverage, organization determinations, asking for a fast decision, and the appeals process.
Rx Coverage Grievance & Appeals
Learn more about what to do if you have a compliant about your prescription drug coverage, coverage determinations, asking for a fast decision, exceptions, and the appeals process.
Extra Help Paying for Rx Drug Coverage
There is financial help to pay for some health care and prescription drug costs. If you have limited income and resources, you might qualify for one or more of the programs. Click here for premium information.
Plan Transition Process (Transition Policy)
Members in our plan who are taking drugs that are not on our formulary or are subject to certain restrictions may be affected by changes to our formulary from one year to the next. Learn more about the plan transition process and how it affects you.
Medication Therapy & Utilization Management
For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. Learn more about utilization management which includes prior authorization, quantity limits, step therapy and generic substitution.
Printable Forms
Print Plan Change Form
Need to change your plan? Submit this form to change your plan.
Print Coverage Determination Form
This form can be used by to request Medicare Part D prescription drug coverage determinations (including tiering or formulary exception requests).
Print Member Grievance Form
Use this form for complaints about issues that do not involve a denial of coverage of services, and have occurred within the last 60 days.
Print Member Appeal Form
If you would like to appeal coverage you have received, please complete and submit this form.
Print Appointment of Representative Form
Use this form to appoint a representative for your appeal.