• Members

Call: 1-800-892-3351.
TTY/TDD should call
1-800-216-1307.
Hours of operation are: 8 a.m. to 8 p.m. local time, Monday through Friday.

Member Services

We’re here to help you get the most of your Care Assured^SM benefits. This section will direct you to a number of tools you may need once you are enrolled in Care Assured.

Member Services Forms

Evidence of Coverage
Change of Address
Optional Automatic Monthly Payment Agreement
Provider Contact
Request ID Card
Claims Reimbursement
Benefit Documents
Authorization to Release Information
Authorization for One-Time Release of PHI
Prescription Claim Form

Health Resources

Importance of Preventive Care
Discounts on Vision, Hearing, and Dental
Nurseline
Medical Records Management
How to Plan for a Doctor Visit

Prescription Resources

Care Assured Formulary
Network Pharmacies
Annual Drug Cost Calculator
Formulary Requirements and Limits
Medication Exception Request
Keeping a List of Medications
Prior Authorization Request Form

Mail Service Order Form

Exceptions, Appeals, and Grievances

Appeals and Grievances
Coverage Decisions
Additional Requests

Additional Information

Contact Us
Privacy Practices
Disenrollment