Caring Starts with Finding the Information You Need
Here, Medicare Dual Advantage members can find important resources and program information. See the library below of member resources or use the search bar to find specific documents.
Links to our Provider and Pharmacy Directories are located at the bottom of this page.
Can’t find what you need or need help in another language? Contact My Choice Wisconsin’s helpful Customer Service staff.
See the 2024 Medicare Dual Advantage plan documents.
Scroll down to find these and many other commonly used resources:
- 2024 Medicare Dual Advantage Evidence of Coverage
- 2024 Medicare Dual Advantage Annual Notice of Change
- 2024 Medicare Dual Advantage Summary of Benefits
- 2025 Medicare Dual Advantage Annual Notice of Change (Legacy My Choice)
- 2025 Medicare Dual Advantage Annual Notice of Change (Legacy Molina)
- 2025 Medicare Dual Advantage Annual Summary of Benefits
- 2025 Medicare Dual Advantage Evidence of Coverage
Medicare Dual Advantage Member ID Card
When you enroll in the My Choice Wisconsin Medicare Dual Advantage program, you will receive your Member ID card.
Resource Downloads for Medicare Dual Advantage
Resources are listed in alphabetical order. You will need Adobe Acrobat Reader to view and print PDF files. Download A Free Copy. If you need materials in other formats or languages, visit Help In Other Languages.
2024 Pharmacy Directory (Partnership & Medicare Dual Advantage)
September 13, 2024 | pdf (634.70 KB) | Medicare Dual Advantage, Partnership
2025 Direct Member Reimbursement Form – English
October 9, 2024 | pdf (117.17 KB) | Medicare Dual Advantage, Partnership
2025 Direct Member Reimbursement Form – Spanish
October 9, 2024 | pdf (73.50 KB) | Medicare Dual Advantage, Partnership
2025 Dual Advantage – Annual Notice of Change (Legacy Molina)
October 1, 2024 | pdf (852.29 KB) | Medicare Dual Advantage
2025 Dual Advantage – Annual Notice of Change (Legacy My Choice)
October 1, 2024 | pdf (855.40 KB) | Medicare Dual Advantage
2025 Formulary (Partnership & Medicare Dual Advantage)
October 1, 2024 | pdf (2.06 MB) | Medicare Dual Advantage, Partnership
2025 Formulary (Partnership & Medicare Dual Advantage) – Spanish
October 2, 2024 | pdf (2.12 MB) | Medicare Dual Advantage, Partnership
2025 Medicare Dual Advantage Evidence of Coverage
October 8, 2024 | pdf (5.08 MB) | Medicare Dual Advantage
2025 Medicare Dual Advantage Summary of Benefits (English)
October 2, 2024 | pdf (1.28 MB) | Medicare Dual Advantage
2025 Medicare Dual Advantage Summary of Benefits (Spanish)
October 2, 2024 | pdf (1.22 MB) | Medicare Dual Advantage
Directory Resources for Medicare Dual Advantage
Provider Directory
Find a My Choice Wisconsin provider in your area. Search by type, location and more.
Search ProvidersGrievances & Appeals
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Rules & ProceduresGet More From Medicare Dual Advantage
Program Locations
My Choice Wisconsin Medicare Dual Advantage serves 38 counties across the state.
See County ListUnderstanding My Benefits
Get the most out of your Medicare Dual Advantage membership.
Your Benefits Guide