Medicare Documents and Forms | Members

2026 Benefits and Coverage

2026 Quick Start Guide
PDF, 1 MB Last Updated: 12/04/2025
PDF, 1 MB Last Updated: 12/04/2025
2026 Sentara Community Complete (HMO D-SNP) - Annual Notice of Changes
PDF, 280 KB Last Updated: 10/31/2025
PDF, 280 KB Last Updated: 10/31/2025
2026 Sentara Community Complete Select (HMO D-SNP - Annual Notice of Changes
PDF, 286 KB Last Updated: 10/01/2025
PDF, 286 KB Last Updated: 10/01/2025
2026 Sentara Community Complete Select (HMO D-SNP) - Summary of Benefits
PDF, 2 MB Last Updated: 10/01/2025
PDF, 2 MB Last Updated: 10/01/2025
2026 Sentara Community Complete (HMO D-SNP) - Summary of Benefits
PDF, 888 KB Last Updated: 10/01/2025
PDF, 888 KB Last Updated: 10/01/2025
2026 Sentara Community Complete (HMO D-SNP) - Evidence of Coverage
PDF, 2 MB Last Updated: 10/15/2025
PDF, 2 MB Last Updated: 10/15/2025
2026 Sentara Community Complete Select (HMO D-SNP) - Evidence of Coverage
PDF, 2 MB Last Updated: 10/15/2025
PDF, 2 MB Last Updated: 10/15/2025
2026 Sentara Community Complete Select (HMO D-SNP) - Summary of Benefits Spanish
PDF, 2 MB Last Updated: 11/06/2025
PDF, 2 MB Last Updated: 11/06/2025
2026 Sentara Community Complete (HMO D-SNP) - Summary of Benefits Spanish
PDF, 1 MB Last Updated: 11/06/2025
PDF, 1 MB Last Updated: 11/06/2025
2026 Sentara Medicare Star Ratings-DSNP
PDF, 114 KB Last Updated: 10/27/2025
PDF, 114 KB Last Updated: 10/27/2025

2025 Benefits and Coverage

2025 Sentara Community Complete (HMO D-SNP) - Annual Notice of Changes
PDF, 447 KB Last Updated: 10/04/2024
PDF, 447 KB Last Updated: 10/04/2024
2025 Sentara Community Complete (HMO D-SNP) - Evidence of Coverage
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Community Complete (HMO-DSNP) - Summary of Benefits
PDF, 2 MB Last Updated: 02/21/2025
PDF, 2 MB Last Updated: 02/21/2025
2025 Sentara Community Complete Select (HMO D-SNP) - Annual Notice of Changes
PDF, 427 KB Last Updated: 10/03/2024
PDF, 427 KB Last Updated: 10/03/2024
2025 Sentara Community Complete Select (HMO D-SNP) - Evidence of Coverage
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Community Complete Select (HMO-DSNP) - Summary of Benefits
PDF, 2 MB Last Updated: 10/14/2024
PDF, 2 MB Last Updated: 10/14/2024
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Annual Notice of Changes
PDF, 444 KB Last Updated: 12/12/2024
PDF, 444 KB Last Updated: 12/12/2024
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Evidence of Coverage - Central/Halifax
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Evidence of Coverage - Hampton Roads
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Evidence of Coverage - Northern Virginia
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Evidence of Coverage - Northern Virginia - Spanish
PDF, 1 MB Last Updated: 11/29/2024
PDF, 1 MB Last Updated: 11/29/2024
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Evidence of Coverage - Roanoke/Alleghany
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Summary of Benefits - Central/Halifax
PDF, 2 MB Last Updated: 10/14/2024
PDF, 2 MB Last Updated: 10/14/2024
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Summary of Benefits - Hampton Roads
PDF, 2 MB Last Updated: 10/14/2024
PDF, 2 MB Last Updated: 10/14/2024
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Summary of Benefits - Northern VA
PDF, 2 MB Last Updated: 10/14/2024
PDF, 2 MB Last Updated: 10/14/2024
2025 Sentara Medicare Engage - Diabetes and Heart (HMO C-SNP) - Summary of Benefits - Roanoke/Alleghany
PDF, 2 MB Last Updated: 10/14/2024
PDF, 2 MB Last Updated: 10/14/2024
2025 Sentara Medicare Engage - Lung (HMO C-SNP) - Evidence of Coverage
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Engage - Lung (HMO C-SNP) - Summary of Benefits - Hampton Roads
PDF, 2 MB Last Updated: 10/15/2024
PDF, 2 MB Last Updated: 10/15/2024
2025 Sentara Medicare Prime (HMO) - Annual Notice of Change - Southside
PDF, 404 KB Last Updated: 10/14/2024
PDF, 404 KB Last Updated: 10/14/2024
2025 Sentara Medicare Prime (HMO) - Evidence of Coverage - Peninsula
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Prime (HMO) - Evidence of Coverage - Southside
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Salute (HMO) - Summary of Benefits
PDF, 2 MB Last Updated: 10/03/2024
PDF, 2 MB Last Updated: 10/03/2024
2025 Sentara Medicare Salute (HMO) - Annual Notice of Changes
PDF, 330 KB Last Updated: 10/03/2024
PDF, 330 KB Last Updated: 10/03/2024
2025 Sentara Medicare Salute (HMO) - Evidence of Coverage
PDF, 964 KB Last Updated: 10/15/2024
PDF, 964 KB Last Updated: 10/15/2024
2025 Sentara Medicare Value (HMO) - Annual Notice of Change - Southside
PDF, 395 KB Last Updated: 10/14/2024
PDF, 395 KB Last Updated: 10/14/2024
2025 Sentara Medicare Value (HMO) - Annual Notice of Changes - Central/Halifax
PDF, 406 KB Last Updated: 10/03/2024
PDF, 406 KB Last Updated: 10/03/2024
2025 Sentara Medicare Value (HMO) - Annual Notice of Changes - Northern VA
PDF, 405 KB Last Updated: 10/03/2024
PDF, 405 KB Last Updated: 10/03/2024
2025 Sentara Medicare Value (HMO) - Annual Notice of Changes - Northern VA Spanish
PDF, 378 KB Last Updated: 10/29/2024
PDF, 378 KB Last Updated: 10/29/2024
2025 Sentara Medicare Value (HMO) - Annual Notice of Changes - Peninsula
PDF, 397 KB Last Updated: 10/14/2024
PDF, 397 KB Last Updated: 10/14/2024
2025 Sentara Medicare Value (HMO) - Annual Notice of Changes - Roanoke/Alleghany
PDF, 413 KB Last Updated: 10/03/2024
PDF, 413 KB Last Updated: 10/03/2024
2025 Sentara Medicare Value (HMO) - Annual Notice of Changes - Southwest Crosswalk
PDF, 403 KB Last Updated: 10/03/2024
PDF, 403 KB Last Updated: 10/03/2024
2025 Sentara Medicare Value (HMO) - Evidence of Coverage - Central/Halifax
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Value (HMO) - Evidence of Coverage - North Carolina
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Value (HMO) - Evidence of Coverage - Northern Virginia
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Value (HMO) - Evidence of Coverage - Northern Virginia - Spanish
PDF, 1 MB Last Updated: 11/29/2024
PDF, 1 MB Last Updated: 11/29/2024
2025 Sentara Medicare Value (HMO) - Evidence of Coverage - Peninsula
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Value (HMO) - Evidence of Coverage - Roanoke/Alleghany/Southwest
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Value (HMO) - Evidence of Coverage - Southside
PDF, 1 MB Last Updated: 06/03/2025
PDF, 1 MB Last Updated: 06/03/2025
2025 Sentara Medicare Value (HMO) - Summary of Benefits - Central/Halifax
PDF, 2 MB Last Updated: 10/14/2024
PDF, 2 MB Last Updated: 10/14/2024
2025 Sentara Medicare Value (HMO) - Summary of Benefits - North Carolina
PDF, 2 MB Last Updated: 10/03/2024
PDF, 2 MB Last Updated: 10/03/2024
2025 Sentara Medicare Value (HMO) - Summary of Benefits - Northern Virginia
PDF, 2 MB Last Updated: 10/03/2024
PDF, 2 MB Last Updated: 10/03/2024
2025 Sentara Medicare Value (HMO) - Summary of Benefits - Roanoke/Alleghany/Southwest
PDF, 2 MB Last Updated: 10/14/2024
PDF, 2 MB Last Updated: 10/14/2024
2025 Sentara Medicare Value/Prime (HMO) - Summary of Benefits - Peninsula
PDF, 2 MB Last Updated: 10/03/2024
PDF, 2 MB Last Updated: 10/03/2024
2025 Sentara Medicare Value/Prime (HMO) - Summary of Benefits - Southside
PDF, 2 MB Last Updated: 10/03/2024
PDF, 2 MB Last Updated: 10/03/2024
Non-renewal letter for Salute members
PDF, 157 KB Last Updated: 10/22/2025
PDF, 157 KB Last Updated: 10/22/2025
Non-renewal letter for Value, Prime, and C-SNP members
PDF, 157 KB Last Updated: 10/22/2025
PDF, 157 KB Last Updated: 10/22/2025

2026 Prescription Drugs and Formularies

2026 Over-the-Counter (OTC) Product Catalog
PDF, 4 MB Last Updated: 01/05/2026
PDF, 4 MB Last Updated: 01/05/2026

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