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DualConnect member materials

Some of our Santa Clara Family Health Plan DualConnect Plan (HMO D-SNP) (SCFHP DualConnect) materials are online. To view and print them, you must have Adobe Acrobat Reader.

Request a print or alternate format document

SCFHP DualConnect, a Medicare-Medi-Cal Plan, documents are available below for easy viewing and to download. If you need a printed version of a document, or a printed document in another language or other formats, such as large print, braille, and/or audio, please fill out and submit this form.

2023 Member Materials

Name English Español Tiếng Việt 中文 Tagalog
Annual Notice of Changes (ANOC) Link Link Link Link Link
Durable Medical Equipment (DME) List Link Link Link Link Link
List of Covered Drugs (Formulary)
(Updated 11/30/22)
Link Link Link Link Link
Member Handbook Link Link Link Link Link
Provider and Pharmacy Directory
(Updated 11/30/22)
Link Link Link Link Link
Summary of Benefits Link Link Link Link Link

Resources

Name English Español Tiếng Việt 中文 Tagalog
Step Therapy Requirements
(Updated 11/30/22)
Link
Prior Authorization Requirements
(Updated 11/30/22)
Link

Santa Clara Family Health Plan DualConnect is an HMO D-SNP with a Medicare and Medi-Cal contract.
Enrollment in DualConnect depends on contract renewal.

Last updated 10/07/2022

H4045_23013W Accepted