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.
Scroll down to find these and many other commonly used resources:
Medicare Dual Advantage Member Card
When you enroll in the My Choice Wisconsin Medicare Dual Advantage program, you will receive your My Choice Wisconsin Member ID card in your Welcome Kit.
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.
2021 Formulary Addendum
March 1, 2021 | pdf (198.10 KB) | Medicare Dual Advantage, Partnership
The formulary addendum lists changes made since the last formulary update.
2021 Medicare Dual Advantage Annual Notice of Changes
October 15, 2020 | pdf (321.89 KB) | Medicare Dual Advantage
2021 Medicare Dual Advantage Evidence of Coverage
October 15, 2020 | pdf (1.78 MB) | Medicare Dual Advantage
2021 Medicare Dual Advantage Formulary
March 1, 2021 | pdf (1.12 MB) | Medicare Dual Advantage
Learn about the Medicare Part D drugs that My Choice Wisconsin's Medicare Dual Advantage program covers.
2021 Medicare Dual Advantage Formulary – Prior Authorization
March 1, 2021 | pdf (905.57 KB) | Medicare Dual Advantage
2021 Medicare Dual Advantage Formulary – Quantity Limits
March 1, 2021 | pdf (465.51 KB) | Medicare Dual Advantage
2021 Medicare Dual Advantage Formulary – Step Therapy
March 1, 2021 | pdf (138.75 KB) | Medicare Dual Advantage
2021 Medicare Dual Advantage Low Income Subsidy (LIS) Rider Premium Summary
October 14, 2020 | pdf (136.73 KB) | Medicare Dual Advantage
2021 Medicare Dual Advantage Over-the-Counter (OTC) Catalog for Members
September 29, 2020 | pdf (1.26 MB) | Medicare Dual Advantage
2021 Medicare Dual Advantage Summary of Benefits
October 15, 2020 | pdf (338.76 KB) | 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
We take your member rights seriously. Learn how to get help with an appeal.
Rules & ProceduresGet More From Medicare Dual Advantage
Program Locations
My Choice Wisconsin Medicare Dual Advantage now serves 31 counties across the state.
See County ListUnderstanding My Benefits
Get the most out of your Medicare Dual Advantage membership.
Your Benefits Guide