Annual Member Notice

The Annual Member Notice contains important information about your rights as a plan member, resources that may be available to you and your Health Plan Notices of Privacy Practices.

Select the links below to view the notices.

  • Benefits, coverage exclusions, cost of care and out of state care
  • Pharmacy procedures and benefits
  • Looking up claims/obtaining an ID card
  • How to voice a complaint or submit an appeal
  • Finding a network physician or hospital
  • Getting routine, urgent, emergency and hospital care

Download: Getting the Most from your Health Care CoverageOpens a new window

  • Health and wellness program
  • Healthy Mind, Health Body® eNewsletter
  • Preventive health guidelines
  • Health management programs and services
  • Access to behavioral health care

Download: Getting and Staying HealthyOpens a new window

  • Quality improvement programs
  • Women's Health and Cancer Rights Act
  • Newborns' and Mothers' Health Protection Act
  • Evaluation of new medical technologies

Download: Other Important InformationOpens a new window

  • Your rights and responsibilities as a member
  • Health Plan Notices of Privacy Practices

Download: Rights and ResponsibilitiesOpens a new window
Download: Health Plan Notices of Privacy PracticesOpens a new window

  • Language Assistance and Nondiscrimination Notice

Download: Language Assistance and Nondiscrimination NoticeOpens a new window