Forms and other important documents

• Member handbook
• Covered services lists
• Standard/CommonHealth
• Family Assistance 
• CarePlus 

Provider and pharmacy directory

Personal representative forms

• Personal Representative Authorization Form
  This form gives us permission to share your personal information to another person and/or gives permission to someone else to file an appeal for you.
• Request for an Accounting of Disclosures of Personal Information form
  Use this form to ask us for a list of people we have shared your information with for reasons other than treatment, payment or health care operations.
• Restriction form
  This form puts limits on how we use or share your personal information.