Documents & Forms

Benefit Documents

Teladoc Highlights - HD & CoPay

Member Portal Registration Guide

SouthernScripts Member Reference Guide

Preventative Drugs List

Balance Bill Flyer

Balance Bill Flyer (Spanish)

Care Coordinator Notice

Care Coordinator Process

Welvie Flyer

COVID-19 OTC Test Kit Coverage

Plan Forms

Disabled Dependent Certification

Transition of Care Form

Healthcare Claim Form

TSHBP Exception Questionnaire

</p> <p style="text-align: center; color: #1a3c82; text-decoration: none;">TSHBP Escalations Form</p> <p>