Changing the way you receive healthcare Enroll Today Scroll Georgia PHP Find a provider, facility or Pharmacy PHP Georgia Benefits Medical Services Prescription Drugs Added Benefits Provider/Pharmacy Network How to Enroll FAQ Contact Us For Members 2020 Plan Benefits and Costs Premium, Maximum Out-of-Pocket Costs, Deductible Medical Benefits and Costs Prescription Drug Coverage and Costs Medical Services Using Plans Asking for a Decision Appealing a Decision Asking for Reimbursement Prescription Drugs How to Get Prescription Drugs Formulary Drug Transition Policy Asking for a Decision Appealing a Decision Asking for Reimbursement “Extra Help” Medication Therapy Mgmt. ADAP Health & Wellness Benefit About Over-the-Counter Benefit Option Member Materials and More Publications and Forms Appoint a Representative Changes to Medicare-Covered Services Newsletters Education Quit for Life® Stop Smoking Member Rights Making a Complaint Getting Care or Prescription Drugs During a Disaster Manage Your Membership If You Move How to Disenroll Contact Us En Español For Providers Publications and Forms Provider Portal Provider Notices Consumer Safety Claim Submissions Claim Disputes Provider Grievances Contact Us About PHP Find a provider, facility or Pharmacy PHP Georgia Benefits Medical Services Prescription Drugs Added Benefits Provider/Pharmacy Network How to Enroll FAQ Contact Us For Members 2020 Plan Benefits and Costs Premium, Maximum Out-of-Pocket Costs, Deductible Medical Benefits and Costs Prescription Drug Coverage and Costs Medical Services Using Plans Asking for a Decision Appealing a Decision Asking for Reimbursement Prescription Drugs Formulary Drug Transition Policy Asking for a Decision Appealing a Decision Asking for Reimbursement “Extra Help” Medication Therapy Mgmt. ADAP Health & Wellness Benefit About Over-the-Counter Benefit Option Member Materials and More Publications and Forms Appoint a Representative Changes to Medicare-Covered Services Newsletters Education Quit for Life® Stop Smoking Member Rights Making a Complaint Getting Care or Prescription Drugs During a Disaster Manage Your Membership If You Move How to Disenroll Contact Us En Español For Providers Publications and Forms Provider Portal Provider Notices Consumer Safety Claim Submissions Claim Disputes Provider Grievances Contact Us Claims Submission and Status Choosing Wisely Campaign High Risk Medications and Safe Treatment Alternatives You will need the Adobe Acrobat Reader program to view the above forms. To download this free program click here or use the link above – the link will open a new window and take you to the Adobe website.
