Gives
BackBrokers: Individual Plans
Forms
- How to pay premiums
- Search for Providers
- Complete provider directory (PDF)
- Fitness center membership (Active&Fit) - Fitness center membership does not apply to all plans. Please reference your plan documents to confirm this benefit.
- Pediatric dental benefit
2021 plans
- Comparison of benefits
- Commercial Metal 5T formulary Online Search | PDF | Prior Authorization | Step Therapy
- Commercial 5T formulary Online Search | PDF | Prior Authorization | Step Therapy
- 3 Tier Commercial Formulary Online Search | PDF | Prior Authorization | Step Therapy
- Application (PDF)
- Application (PDF) Spanish
- Change/termination form (PDF)
- Summaries of Benefits and Coverage (SBCs)
2020 plans
- Comparison of benefits
- Commercial Metal 5T formulary Online Search | PDF | Prior Authorization | Step Therapy
- Commercial 5T formulary Online Search | PDF | Prior Authorization | Step Therapy
- Commercial 3T Formulary Online Search | PDF | Prior Authorization | Step Therapy
- Application (PDF)
- Application (PDF) Spanish
- Change/termination form (PDF)
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