Below are links to commonly-used HealthPlus forms and copies of your HealthPlus Member Handbook. Simply click on the link to your desired document or publication and print the pages you need.

Your Handbook
Member Handbooks Authorization for Release of Medical Records (pdf: 61k)
Request for Reimbursement Form (pdf: 37k)
HealthPlus Member Grievance Appeal Form (pdf: 73k)
HealthySolutions Treatment Plan Form

Member Records & Rights Request (pdf: 11k)
Other Insurance Information Inquiry Form (pdf: 56k)
Request For Medicare Prescription Drug Coverage Determination (pdf: 34k)
A Medicare beneficiary, their representative, or  prescriber may use this form to request a coverage determination (authorization) for a prescription drug. Request for Redetermination of Medicare Prescription Drug Denial (pdf: 54k)
Medicare beneficiaries whose request for coverage of (or payment for) a prescription drug has been denied may use this form to request a redetermination (appeal) of the decision.