Many of our member resources can be found on our secure portal. Click Login to create an account and access a wide array of resources! We’ve also provided a few resources below.
- Advance Directives
- Authorization to Disclose Health Information Form &
Revocation of Authorization Form - English | Chinese | Russian | Vietnamese
- Coverage Information - Quick Tips
- Doctor's Office Visit Checklist - Use this checklist to get prepared for your next doctor's appointment.
- Helpful Links
- Grievance and Appeal Process
- List of Covered Preventive Services
- Member Rights & Responsibilites
- My Health Pays & Gym Reimbursement
- Notice of Privacy - English | Spanish | Chinese | Korean | Russian | Vietnamese
- Preventive Services Guide
- Quality Improvement (QI) Program
- Referral and Authorization Information
- Statement of Non-Discrimination
- Where To Go For Care
- Authorization to Disclose Health Information Form & Revocation of Authorization to Disclose Health Information
- Member Grievance and Appeal Form
- Member Reimbursement Medical Claim Form - Used to submit a paid claim for Out of Country emergency services received from an out-of-network international provider.
- Pharmacy Program Forms
- Prescription Claim Reimbursement Form
- Transplant Reimbursement Form