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Member Forms and Documents
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Medical Utilization Forms
- Prior Authorization for Enrollees
- Transition of Care/Continuity of Care Form
- Case Management & Disease Management Referral Form
- HIPAA Privacy Notice (English)
- HIPAA Privacy Notice (Spanish)
Evidence of Coverage
Summary of Benefits
Provider Directory
Pharmacy Directory
Comprehensive Formulary
Part D Documents
- Medication Therapy Management (MTM) Program Description
- Part D Transition Policy
- Mail Order Rx instructions & Form (NoviXus)
- Mail Order Rx- Instructions & Form (Kroger)
- Extra help & Best Available Evidence (BAE)
- Part D Direct Member Reimbursement (DMR)
Part D Utilization Management Information
Coverage Determination and Redetermination Request Forms
- Coverage Determination
- Redetermination
- Electronic Submission of Coverage Determination
- Electronic Submission of Redetermination
Member Resources
- Enrollment Options & Instructions (English)
- Enrollment Options & Instructions (Spanish)
- Low Income Subsidy (Extra Help: English)
- Low Income Subsidy (Extra Help: Spanish)
- Notice of Non-Discrimination
- Appoint a Representative
- Disenrollment Rights and Responsibilities (English)
- Disenrollment Rights and Responsibilities (Spanish)
- Coverage Decisions, Appeals & Grievances
- Enrollment Application (English)
- Enrollment Application (Spanish)
Policies
TeleHealth Medicine
- Activate Your MDLIVE Account
- MDLIVE User Guide: Activation through Scheduling
- Login for Virtual Access to MDLIVE Providers and Therapists
- MDLIVE Providers and Therapists by Phone: Call: 1-800-657-6169
Zing Health Receives Significant Equity Investment.
Zing Health is Well Positioned to Grow Based on Favorable Market Trends Including a Shift Towards Value-Based, Managed Care Options for Seniors.
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COVID-19 Information for Healthcare providers.
Healthcare providers should be informed on how to be prepared for the COVID-19. Information on Clinical Care Guidance, Infection Control, and Home Care can be found in our newsroom.
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Affordable high quality care.
Zing Health designed its plan to deliver the things that matter most: a wide array of high-quality services with little-to-no cost for members.Learn more today.
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Doctors serving our communities.
Zing Health is embarking on a mission to drastically improve health outcomes in populations that are chronically underserved. See if you qualify.
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Helping doctors coordinate better care.
Zing Health aims to improve patient outcomes by addressing social determinants of health and helping doctors coordinate care. Find out more.
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