Member Resources
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 Handbooks
- 2019 Member Handbook for Members in the Health Insurance Marketplace (PDF)
- 2019 Member Handbook for Arkansas Works Members (PDF)
Reference Materials
- Auto Bill Pay Terms and Conditions (PDF)
- Dr. Office Visit Checklist (PDF)
- Find a Provider Guide (PDF)
- Get Your Flu Shot
- Health Sheets Education Resource
- Preventive Services Guide (PDF)
- Primary Care Physician Visit Checklist (PDF)
- Quality Improvement (QI) Program
- Statement of Non-Discrimination
- 2020 Transparency Notice
- 2019 Transparency Notice
- Where To Go For Care
- Women's Health and Cancer Rights Act Annual Notice
Forms
- Authorization to Disclose Health Information Form (PDF)
- Grievance, Appeal, Concern or Recommendation Form (PDF)
- Member Reimbursement Medical Claim Form (PDF) - Used to submit a paid claim for Out of Country emergency services received from an out-of-network international provider.
- Prescription Claim Reimbursement Form (PDF)
- Revocation of Authorization to Disclose Health Information (PDF)
- Transplant Reimbursement Form (PDF)
- Authorization Representative Designation Form (PDF)