Forms & Documents

Information and Guidelines

 

General Information
Enrollment and Network Information
Ancillary and Additional Products and Services
Reimbursement Forms
Carrier Prescription Lists
Broker Appointment Paperwork

Summary of Benefits

 

2022 Summary of Benefits and Coverage (SBC)
2021 Summary of Benefits and Coverage (SBC)
2020 Summary of Benefits and Coverage (SBC)
2020 Resumen De La Cobertura De Beneficio (SBC)
2021 Resumen De La Cobertura De Beneficio (SBC)
Summary of Benefits Carrier Highlights (SOB)

ID CARDS

Medical

To print or request a new ID card click on your carrier below. Need Help? Call 888.313.7277 for assistance.

EmblemHealth

A Member ID number is required when printing a temporary ID Card.

I HAVE MY MEMBER ID NUMBER >

I DO NOT HAVE MY MEMBER ID NUMBER >

EmblemHealth
Healthfirst

A Member ID number is required when printing a temporary ID Card.

I HAVE MY MEMBER ID NUMBER >

I DO NOT HAVE MY MEMBER ID NUMBER >

Healthfirst
Oscar

A Member ID number is required when printing a temporary ID Card.

I HAVE MY MEMBER ID NUMBER >

I DO NOT HAVE MY MEMBER ID NUMBER >

Oscar
Oxford

A Member ID number is required when printing a temporary ID Card.

I HAVE MY MEMBER ID NUMBER >

I DO NOT HAVE MY MEMBER ID NUMBER >

United Healthcare

Dental & Vision

To print or request a new ID card click on your carrier below. Need Help? Call 888.313.7277 for assistance.

Guardian

A Member SS# or ID Number is required when printing a temporary ID Card.

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Guardian
Solstice

To view and print your Solstice dental ID Card you will need your SS# or ID Number.

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To view and print your Solstice vision ID Card you will need your SS# or ID Number.

Go To Website >

Solstice
UnitedHealthcare

A member SS# and zip code is needed to create an account. Sign into myuhcvision.com and choose Account Settings at the top right of the screen. You can request and print new ID cards.

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UHC