Resources & Forms
Submitting a Claim
Need to submit a claim? You'll find the most frequently used forms below. Follow the directions on each form to make sure that your benefits are applied correctly.
If you can't find what you need, or need help submitting a claim, please contact Member Services using the phone number on the back of your member ID card.
Claim Forms
Medical Claim Form (PDF) |
Other Resources
Mental Health Support (PDF) | |
Preferred Drug List (PDF) |