Tribute Health Plans

A Partnership for Care

Need Help? Call Member Services at 1-877-372-1033 (TTY 711) 8 a.m. - 8 p.m. | 7 days a week

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Formulary 5 Tier Plan(current)

Formulary 5 Tier Plan

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Comprehensive Formulary

This section last modified: Sep 29, 2017 @ 8:44 am

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Tribute Select (HMO-POS I-SNP) is a health plan with a Medicare contract. Enrollment in Tribute Select depends on contract renewal. Tribute Advantage (HMO-POS D-SNP) is a health plan with a Medicare contract and a contract with the Arkansas Department of Human Services Medicaid program. Enrollment in Tribute Advantage depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and copayments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and provider network may change at any time. You will receive notice when necessary. Tribute Select is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Tribute Advantage is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

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Last Updated: Oct 14, 2022 @ 5:06 pm

Contact

Tribute Health Plans
PO Box 3630
Little Rock, AR 72202
Toll-free: 1-877-372-1033 (TTY 711)

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