Forms
Appointed Representative Instructions Appointed Representative Form Coverage determination form - for enrollees Coverage determination form - for providers Enrollment form Enrollment instructions
To be available soon:
Member grievance form
Current Members Contact us at 1-866-472-3691, TTY 1-800-735-2929
If interested in joining please contact us about Healthy Generations:
Call 1-888-355-5557, seven days a week, 8:00 a.m. - 8:00 p.m. Pacific Time, (TTY/TDD 1-800-735-2929)
For more information about Medicare, please call Medicare at 1-800-MEDICARE (1-800-633-4227).
Providers: if you have questions on the status of an appeal, determination or other process, please call 1-800-788-2942.
Members: if you have questions on the status of an appeal, determination or other process, please call 1-800-260-2055 (TTY/TDD 1-800-735-2929)
TTY users should call 1-877-486-2048. You can call 24 hours a day, 7 days a week. Or, visit www.medicare.gov on the web.
If you have special needs, Healthy Generations materials may be available in other formats.