Many of our member resources, such as the member handbook and forms, can be found on our secure portal.  Click Login to create an account and access a wide array of resources!

Member Handbook

• 2019 Ambetter Member Handbook (PDF)

Reference Materials

• Dr. Office Visit Checklist (PDF)
• Transparency Notice 2020
• Transparency Notice 2019
• Statement of Non-Discrimination
• Find a Provider Guide (PDF)
• Preventive Services Guide (PDF)

Forms

• Authorization to Disclose Health Information Form (PDF)
• Grievance & Appeals Form (PDF)
• Member Reimbursement Medical Claim Form (PDF)
• Prescription Claim Reimbursement Form (PDF)
• Transplant Reimbursement Form (PDF)