Medical Forms & Resources

Forms:

• Address Change 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
• International Claim Form

Anthem Resources & Programs:

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

Other Resources:

• MMA Coronavirus Updates & Resources
• Diabetes Education Program
  Members who have diabetes or pre-diabetes are eligible to participate in the Telephonic Diabetes Education and Support Program. Participants work with a health coach to learn valuable information about managing diabetes risks, and also save money on medications and supplies.
• 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

Children’s Health Insurance Program (CHIP)

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