2020 Member Resources
Looking for 2019 member resources?
All Members
- HealthLINK Login (Member Portal)
- HealthLINK FAQ
- Benefits Explorer
- Online Medicare Coverage Determination form
- Appointment of Representative form
- Optional Supplemental Benefits Brochure
- Dental Claim form
- Member Standing Authorization form
- Part B Medical Reimbursement
- Part D/Prescription Drug Claim form
- Pharmacy Mail Service Order Form
- Summary of Benefits – English | Spanish
- CMS Star Ratings
- Yearly Wellness Checklist
- Bank Account Withdrawal Pre-Authorization Form
Advantage MD PPO
- Annual Notice of Changes (Plus PPO)
- Evidence of Coverage (PPO)
- Evidence of Coverage (Plus PPO)
- Evidence of Coverage (PPO Premier) – English | Spanish
- Optional Supplemental Enrollment/Disenrollment form
- Part D/Prescription Drug Coverage Determination form (PPO/Plus PPO/Premier PPO) – English | Spanish
- Part D/Prescription Drug Coverage Redetermination form (PPO/Plus PPO/Premier PPO) – English | Spanish
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