All the information you need, in one place

At some point during your care, you may want us to disclose your protected health information (PHI) to someone else, like your spouse or child. Here you’ll find the information you’ll need to authorize the release of health information.

If you're looking to be reimbursed for eligible out-of-pocket medical expenses, be sure to submit this reimbursement request form within 180 days of the date of service.

Regulations may require pharmacies to get prior authorization before dispensing certain medications. Here's the form your prescriber will need to complete these requests, including those for step therapy. Fax the following form to 1-888-836-0730 (or 1-855-245-2134 for Covered California members).

Fill out this form if you would like to make changes to, or update the personal information associated with, your individual and family plan.

Covered California^® members: call 1-800-300-1506 or update your account online at coveredca.com.