Member Materials

The Annual Notice of Change includes a full list of the changes to your health plan benefits and services for 2026.

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The 2026 Evidence of Coverage (EOC) – or Member Handbook – describes in detail the benefits and services covered for INTEGRITY for Duals members.

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The Summary of Benefits outlines important details of your INTEGRITY for Duals 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 network.

Visit Find a Provider or Pharmacy to search the current INTEGRITY for Duals Provider and Pharmacy Directory.

Neighborhood’s List of Covered Drugs – also known as a formulary – is a list of generic and brand name prescription medications covered by Neighborhood for our INTEGRITY for Duals members.

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Click a link below to see the list of Durable Medical Equipment (DME) supplies available at limited pharmacies.

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Click below to see a sample Neighborhood INTEGRITY for Duals member ID card.

• INTEGRITY for Duals 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 file an appeal of an adverse decision.

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Use this form if you would like to notify Neighborhood of a complaint or grievance.

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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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