Documents & Forms Center

Members

QI Behavioral Health Program Description 2022

PDF icon PD-BH-QI-2022-Final1.pdf

Members

QI Commercial Program Description 2021

PDF icon PD-QI-Commercial-2021.pdf

Members

QI Commercial Program Description 2022

PDF icon PD-QI-Commercial-2022.pdf

Members

QI Medicare Program Description 2021

PDF icon PD-QI-Medicare-2021.pdf

Members

QI Medicare Program Description 2022

PDF icon PD-QI-Medicare-2022.pdf

Members

Quality Improvement Behavioral Health Program Description

PDF icon PD-BH-QI-2022.pdf

Members

Quality Improvement COM Program Description

PDF icon PD-QI-Commercial-20221.pdf

Members

Quality Improvement Program Evaluation

PDF icon 2019 QI Program Evaluation.pdf

Members

Small Employer Member Handbook - Effective 1-1-2022

PDF icon Small Employer Member Handbook - (310x plans effective 1-1-2022).pdf

Members

Small Employer Member Handbook - Keep Your Health Plan Updated 2020

PDF icon Small Employer Member Handbook - Keep Your Health Plan Updated 2020.pdf

Members

SOF Amwell FAQs

PDF icon Amwell FAQ - SOF.pdf

Members

Standard Option I

PDF icon Standard Option I.pdf

Members

State of Florida 2021 SPD - Member Handbook

PDF icon State of Florida 2021 SPD - Member Handbook.pdf

Members

State of Florida High Deductible Health HMO Plan SBC

PDF icon sof-high-deductible-health-hmo-sbc.pdf

Agents, Employers, Members

Universal Prior Authorization Form

PDF icon Universal Prior Authorization Form FILLABLE.pdf

Medicare, Members

Urgent Care Brochure

PDF icon Urgent Care Brochure.pdf