Forms and Documents

These forms and documents are available as PDF files. Just click on a form or document to download it. You will need Adobe Reader to view these files; this can be downloaded free of charge at Adobe's site Learn more about third-party links.

Handbooks and Directories

If you need a printed copy of our member handbook, provider directory or other materials that will help you better understand your benefits, please call Customer Service. Your request will be fulfilled within five business days.

Forms

Value-Added Services and Program Brochures

Evidence of Coverage Schedules

Important Notices

Find additional prescription drug forms here.

ADDITIONAL RESOURCES

* In addition to the preventive health guidelines, clinical guidelines are available upon request. Call customer service at 1-888-657-6061 (TTY 7-1-1) to request a copy.

Find a Doctor or Hospital

Use our Provider Finder® to search for doctors and other health care providers near you.

Need Assistance?

  • 1-888-657-6061 (TTY 7-1-1)
  • 8 a.m. to 8 p.m. Central Time
    Monday through Friday
  • Need Assistance?