Commercial Provider Directory

Commercial Pharmacy Directory

Commercial Formulary

Designated Personal Representative Form

Verity HealthNET National Region 6 Provider Directory (view regions)

Authorization to Release Medical Records Form

Step Therapy Requirements

Agents Requiring a Prior Authorization

Rx Direct Member Reimbursement Form

Health and Medical Term Glossary

Louisiana Declaration of Living Will

Act 453 Member Letter

DOCUMENTS FOR GROUP PLANS
Certificate of Coverage

Freedom Group Plan

      Non-Grandfathered In (2-50 employees)
      Non-Grandfathered In (51 or more employees)
     
      Grandfathered In (2-50 employees)
      Grandfathered In (51 or more employees)

High Deductible Plan

      Non-Grandfathered In (2-50 employees)
      Non-Grandfathered In (51 or more employees)
     
      Grandfathered In (2-50 employees)
      Grandfathered In (51 or more employees)

HMO Plan

      Non-Grandfathered In (2-50 employees)
      Non-Grandfathered In (51 or more employees)
     
      Grandfathered In (2-50 employees)
      Grandfathered In (51 or more employees)