Evidence of Coverage

The Evidence of Coverage provides details about your First UA Medicare Part D prescription drug coverage.

It is an important legal document that highlights:

Contact information
Quality assurance policy
Plan benefits
Your rights and responsibilities as a member of our plan
How to file a complaint
How to end your membership in the plan
And more!

Evidence of Coverage
Download Evidence of Coverage (PDF file)

Evidence of Coverage - (Large Print)
Download Evidence of Coverage - Large Print (PDF file)

Evidence of Coverage - (Spanish)
Download Evidence of Coverage - Spanish (PDF file)

Note: You must have Adobe Reader version 5.0 or higher installed on your computer in order to view and print the above file properly. Click here to download a FREE COPY of Adobe Reader.

updated 10/1/10

FIRST UNITED AMERICAN Part D Prescription Drug Plans

This website is intended to provide you with information about Medicare prescription drug coverage so you can make an informed decision about how Medicare Part D can help you manage your prescription drug costs. First United American Life Insurance Company is a Medicare-approved Part D sponsor.

Medicare Complaint Form: Click the link below to submit feedback about your prescription drug plan directly to Medicare:
https://www.medicare.gov/MedicareComplaintForm/home.aspx