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)