If you have questions,
we have answers!

We understand that choosing a prescription drug plan can be difficult. To find the right plan, you want to get full information on coverage levels, costs, and convenience of services.

If you don’t find the information you need below, please call or write. We’re always happy to help. Contact Us.

Where can I find important plan
information?

Are there some terms or acronyms you don’t understand?

What is Disenrollment?

Where can I download and print forms?

  • Claim Form (PDF).
  • To request a prior authorization or drug coverage determination visit documents and look under ‘Formulary / Drug Coverage’ to print or complete the form online.
  • Visit the documents page for a complete list of documents and forms.

How do I handle an appeal, grievance, or exception request?

To file a grievance or request an exception or appeal, Download a form here. To get a summary of appeals and grievances that other members have filed, please contact Customer Care.


  • We’re here to help!

  • Whether you have questions about your current membership, looking for more information about our plans, or to sign up for a new prescription drug plan, call us today!
  • FAQs I Contact Us