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.

Changing Medicare Plans?
You may qualify for a Special Enrollment Period.
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
- Summary of Benefits Select (HMO)
- Summary of Benefits (PPO)
- D-SNP (HMO D-SNP) formulary (effective 04/01/2026)
- D-SNP (HMO D-SNP) Formulary Search Tool
- D-SNP (HMO D-SNP) LIS Premium Summary Chart – English | Spanish
- Summary of Benefits (HMO)
- Summary of Benefits D-SNP (HMO D-SNP) – English | Spanish
- Pre-Enrollment Checklist – English | Spanish
- Errata (List of Changes to D-SNP (HMO D-SNP) Formulary) (effective 04/01/2026)
- Errata (List of Changes to HMO Formulary) (effective 04/01/2026)
- Errata (List of Changes to PPO Formulary) (effective 04/01/2026)
- Evidence of Coverage Select (HMO) – English | Spanish
- Evidence of Coverage D-SNP (HMO D-SNP)
- Evidence of Coverage (HMO Tribute)
- Evidence of Coverage (HMO)
- Evidence of Coverage (PPO Primary)
- Evidence of Coverage (PPO Plus)
- Evidence of Coverage (PPO)
- HMO Comprehensive Formulary (effective 04/01/2026)
- HMO Formulary Search Tool
- HMO LIS Premium Summary Chart – English | Spanish
- Prescription Drug Formulary
- PPO and Plus (PPO) Comprehensive Formulary (effective 04/01/2026)
- PPO and Plus (PPO) Formulary Search Tool
- PPO LIS Premium Summary Chart
- Primary (PPO) Comprehensive Formulary (effective 04/01/2026)
- Primary (PPO) Formulary Search Tool
- Select (HMO) Formulary – English | Spanish (effective 04/01/2026)
- Select (HMO) Formulary Search Tool
- Select (HMO) LIS Premium Summary Chart
- Transportation Assistance
- Transportation Assistance



