Call us: 1-800-852-8300 | [email protected]

Medical Forms & Resources

Home / Medical Plans / Medical Forms & Resources

Forms

Change Of Address Form Change Of Address Form
HIPAA Authorization Form HIPAA Authorization Form
Medical privacy laws require that we have a HIPAA Authorization form on file in order to speak with providers of family members on your behalf.
Health Claim Form Health Claim Form
International Claim Form International Claim Form

Anthem Resources & Programs

Behavioral Healthcare Program Options Behavioral Healthcare Program Options
Aspire 365 Aspire 365
Lark Diabetes Prevention Program Flier Lark Diabetes Prevention Program Flier
Anthem Website Registration Information Anthem Website Registration Information
Walk In Clinic List Walk In Clinic List
Save money and time by utilizing a Walk-in Clinic for non-emergency situations.
Anthem Online Provider Directory Anthem Online Provider Directory
24-7 Nurseline 24-7 Nurseline
Live Health Online – Flyer Live Health Online – Flyer
Live Health Online – Video Live Health Online – Video
Anthem Condition Care Anthem Condition Care
Building Healthy Families Building Healthy Families
Anthem Care and Cost Finder Anthem Care and Cost Finder
Anthem’s Sydney Health App Anthem’s Sydney Health App
Virtual Primary Care Virtual Primary Care

Other Resources

CompareMaine CompareMaine
Resources to help you find the cost of a procedure, provided by the Maine Health Data Organization (MHDO) and the Maine Quality Forum (MCF)
Did You Know – Covered Benefits Did You Know – Covered Benefits
Progyny Progyny
Members in the Health Trust medical plans can contact Progyny for personalized assistance with fertility care

Children’s Health Insurance Program (CHIP)

Notice Regarding the Children’s Health Insurance Program (CHIP) Notice Regarding the Children’s Health Insurance Program (CHIP)