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.
Medicare Dual Advantage Prescription Drug Denial Redetermination Form
August 20, 2020 | pdf (318.90 KB) | Medicare Dual Advantage
Member Resource: Personal Medication List
April 2, 2024 | pdf (168.68 KB) | Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals -Somali
September 13, 2023 | pdf (1.52 MB) | Family Care, Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals – Arabic
September 13, 2023 | pdf (1.58 MB) | Family Care, Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals – Chinese
September 13, 2023 | pdf (1.60 MB) | Family Care, Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals – English
May 9, 2022 | pdf (467.93 KB) | Family Care, Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals – Hmong
September 13, 2023 | pdf (1.53 MB) | Family Care, Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals – Lao
September 13, 2023 | pdf (1.59 MB) | Family Care, Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals – Russian
September 13, 2023 | pdf (1.52 MB) | Family Care, Medicare Dual Advantage, Partnership
Member Rights and Medicaid Grievance & Appeals – Serbian
September 13, 2023 | pdf (1.52 MB) | Family Care, Medicare Dual Advantage, Partnership
Directory Resources for Medicare Dual Advantage
Provider Directory
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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