Advisory Council
2007 Annual Report
Board
HealthChoice Highlights, As of July 2008
Helpful Numbers
Meeting Notices
Press Releases
Rules

Accidental Dismemberment or Loss of Sight Claim Form
Application for HealthChoice Employer PDP Medicare Supplement With Part D
Application for Retiree/Vested/Non-Vest/Defer Insurance
Beneficiary Designation Form
Change of Address Form
Disenrollment Letter and Form for Medicare Members
HIPAA Authorization to Disclose Health Information
HIPAA Complaint Form – Privacy
HIPAA Complaint Form – Other than Privacy
HIPAA Revocation of Authorization to Disclose Health Information
Information Technology Accessibility Complaint Form
Life Insurance Claim Form
Medicare Pharmacy Coverage Determination - Member
Medicare Pharmacy Coverage Determination - Physician
Member Audit Form
Premium Auto-draft Letter and Form
Verification of Insurance Coverage (VOIC) Form

Compliance Program Document
Reporting Fraud, Waste and Abuse

2009 Employee Benefit Options Guide (715 KB)
2009 Employee Benefit Options Guide (searchable text version)
HealthChoice Dental (768 KB)
HealthChoice Disability
2009 HealthChoice High Option and Basic Health (1152 KB)
HealthChoice Life (825 KB)
2009 HealthChoice Medicare Supplement (1459 KB)
HealthChoice S-Account Plan
HealthChoice USA Plan
Privacy Notice(Applicable to all handbooks listed above)

HealthCare Management
Case Management
Life Insurance Underwriting/Disabled Dependent Status Review
Certification
Specialty Services
Utilization Review/Quality Assurance

Mommy & Me

HealthVoice

Changes to the HealthChoice Pharmacy Benefit
Chart of Member Cost (277 KB)
Find a HealthChoice Network Pharmacy
HealthChoice Select Medication List
HealthChoice Select Medication List(Abridged)-Printable Version
Medicare Supplement High Option Pharmacy Benefits
Medicare Supplement Low Option Pharmacy Benefits
Medications Requiring Prior Authorization
Medications Limited In Quantity
Overview of HealthChoice Pharmacy Benefits

Planning for Your Insurance Needs at Retirement
Pre-Retirement Packet (1753 KB)
Pre-Retirement Meeting Schedule

2009 Premium Rates

Employee Benefit Options Presentation

Provider Listing

H.E.L.P (Health & Wellness)
Fitness Centers
Games & Activities
Health Links
Healthy Recipes
Tank Times
Walking Club

OSEEGIB - ITB/RFP