2018 Documents

These documents are for reference to 2018 plan or network information. This health plan is closing December 31, 2018.

  2018 Find a Dentist
  2018 Provider & Pharmacy Directory
   2018 Comprehensive Formulary  

2018 Provider

This health plan is closing December 31, 2018. To ensure timely and appropriate processing for 2018 claims, appeals and coordination of benefits (COB), we ask that all transactions with dates of service on or before December 31, 2018 be submitted to the health plan no later than March 31, 2019.


          Provider Portal       
     2018 Forms & Tools    

Page Last Updated: January 15, 2019