Member Materials

The 2026 Evidence of Coverage (EOC) describes in detail the benefits and services covered for Dual CONNECT members.

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The Summary of Benefits outlines important details of your Dual CONNECT plan benefits and coverage.

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The Provider and Pharmacy Directory lists all of the providers, facilities, and pharmacies contracted as part of the Neighborhood Dual CONNECT network.

Visit the Find a Provider or Pharmacy page to search the current Dual CONNECT Provider and Pharmacy Directory.

Neighborhood’s Formulary – also known as the List of Covered Drugs or Drug List – is a list of generic and brand name prescription medications covered by Neighborhood for our Dual CONNECT members. This was last updated on October 6, 2025.

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Visit the Pharmacy Benefits page for the searchable Neighborhood Dual CONNECT Formulary.

Click below to see a sample Neighborhood Dual CONNECT member ID card.

• 2026 Dual CONNECT Sample ID Card

Use this form if you want to choose someone to act on your behalf regarding claims, coverage decisions, appeals, or grievances. By signing this form, you authorize the representative to talk to Neighborhood, make requests, and get information about your case. You must give us a copy of the signed form.

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Use this form to ask for a decision about a request for a Part D drug from Neighborhood.

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You can also submit your request online HERE.

Use this form if the request for a Part D drug has been denied and you believe it should be covered.

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You can also submit your request online HERE.

Use this form to as for a reimbursement if you paid the full cost of a prescription from one of our network pharmacies.

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Use this form if you want to let another person see, receive or talk to a Neighborhood representative about your Protected Health Information (PHI).

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Use this form to receive mail or phone calls at a different phone number.

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Use this form to get a copy of your Neighborhood records, such as pharmacy or claims information.

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