HELPFUL DOCUMENTS
Stay informed, stay healthy.
Use the resources on this page to help you stay informed and get the most out of your Johns Hopkins Advantage MD plan.
 
					Browse Documents by Plan
Browse our plan documents to get the details you need about coverage, benefits and resources to guide your health care decisions.
- Johns Hopkins Advantage MD Enrollment Application – English | Spanish
- Enrollment Brochure
- Pre-Enrollment Checklist – English | Spanish
- Virginia Advantage MD Enrollment Application – English | Spanish
- Maryland Advantage MD Enrollment Application – English | Spanish
- Enrollment Brochure – Maryland – English | Spanish
- Enrollment Brochure – Virginia – English | Spanish
- D-SNP (HMO) formulary – English | Spanish (effective 11/01/2025)
- D-SNP (HMO) formulary (effective 01/01/2026)
- D-SNP (HMO) D-SNP Formulary Search Tool
- D-SNP (HMO) D-SNP Formulary Search Tool
- D-SNP (HMO) LIS Premium Summary Chart – English | Spanish
- D-SNP (HMO) LIS Premium Summary Chart – English | Spanish
- Summary of Benefits Select (HMO)
- Summary of Benefits Select (HMO)
- Summary of Benefits (PPO)
- Summary of Benefits (HMO)
- Summary of Benefits (PPO & HMO)
- Summary of Benefits D-SNP (HMO) – English | Spanish
- Summary of Benefits D-SNP (HMO) – English | Spanish
- Errata (List of Changes to D-SNP (HMO) Formulary) (effective 11/01/2025)
- Errata (List of Changes to D-SNP (HMO) Formulary) (effective 01/01/2026)
- Errata (List of Changes to HMO Formulary) (effective 01/01/2026)
- Errata (List of Changes to HMO Formulary) (effective 11/01/2025)
- Errata (List of Changes to PPO Formulary) (effective 11/01/2025)
- Errata (List of Changes to PPO Formulary) (effective 01/01/2026)
- Evidence of Coverage Select (HMO)
- Evidence of Coverage Select (HMO)
- Evidence of Coverage D-SNP (HMO) – English | Spanish
- Evidence of Coverage D-SNP (HMO) – English | Spanish
- Evidence of Coverage (HMO Tribute)
- Evidence of Coverage (HMO Tribute)
- Evidence of Coverage (HMO)
- Evidence of Coverage (HMO)
- Evidence of Coverage (PPO Primary)
- Evidence of Coverage (PPO Primary)
- Evidence of Coverage (PPO Plus)
- Evidence of Coverage (PPO Plus)
- Evidence of Coverage (PPO)
- Evidence of Coverage (PPO)
- HMO Comprehensive Formulary (effective 01/01/2026)
- HMO Comprehensive Formulary (effective 11/01/2025)
- HMO Formulary Search Tool
- HMO Formulary Search Tool
- HMO LIS Premium Summary Chart – English | Spanish
- HMO LIS Premium Summary Chart – English | Spanish
- Prescription Drug Formulary
- PPO and Plus (PPO) Comprehensive Formulary (effective 11/01/2025)
- PPO and Plus (PPO) Comprehensive Formulary (effective 01/01/2026)
- PPO and Plus (PPO) Formulary Search Tool
- PPO and Plus (PPO) Formulary Search Tool
- PPO LIS Premium Summary Chart
- PPO LIS Premium Summary Chart
- Pre-Enrollment Checklist – English | Spanish
- Primary (PPO) Comprehensive Formulary (effective 11/01/2025)
- Primary (PPO) Comprehensive Formulary (effective 01/01/2026)
- Primary (PPO) Formulary Search Tool
- Primary (PPO) Formulary Search Tool
- Select (HMO) Formulary (effective 11/01/2025)
- Select (HMO) Formulary – English | Spanish (effective 01/01/2026)
- Select (HMO) Formulary Search Tool
- Select (HMO) Formulary Search Tool
- Select (HMO) LIS Premium Summary Chart
- Select (HMO) LIS Premium Summary Chart
- Transportation Assistance
- Transportation Assistance
- Transportation Assistance
- Transportation Assistance



