NHC Advantage Gold (HMO I-SNP) benefits end on December 31, 2021. If you are a member of NHC Advantage Gold and have questions about your membership, please call Member Services at 1-844-854-6886 (TTY 711)

Provider Resources

Find tools, information, and other resources to help you get the most out of your benefits.

For Prescribers and Pharmacies

NHC Advantage provides Medicare Part D prescription drug coverage through Navitus, a full-service pharmacy benefit management company committed to lowering drug costs, improving health, and providing superior customer service.

Claims and remittance advices can be submitted and retrieved electronically through your existing clearinghouse or billing company. The following steps will guide you through the process.

For Prescribers

  • Access Formulary and Prior Authorization Forms at Navitus
  • Select “Prescribers” and click on “Prior Authorization”
  • Enter your NPI number and State to access the prescriber portal
  • Navitus Health Solutions Pharmacy Helpdesk phone number: 1-866-270-3877 (TTY 711)
  • Refer to the Provider Documents for formulary, prior authorization criteria, and step therapy criteria

For Pharmacies

  • Access Formulary and Prior Authorization Forms at Navitus
  • Select “Prescribers” and click on “Prior Authorization”
  • Enter your NPI number and State to access the prescriber portal
  • Navitus Health Solutions Pharmacy Helpdesk phone number: 1-866-270-3877 (TTY 711)
  • Refer to the Member Resources page for formulary, prior authorization criteria, and step therapy criteria