Forms and Fliers

Medical

   Aetna Programs & Services:

• 24-Hour Nurse Line
• Aetna Discount Program
• Aetna Maternity Program
• Aetna Member Website
• Aetna Provider Search
• Behavioral Health
• Concierge
• Get Active – Mobile App
• Guidebook – Mental Health Awareness
• Guidebook – Opioid Resource
• In Network Lab
• In Touch Care
• Informed Health
  
• Mail Order Rx – CVS Caremark
• MedQuery
• Network Savings
• Open Access Managed Choice (PPO) – Brochure
• Personal Health Record
• Preventative Care
• Simple Steps
• Teladoc – Did You Know
• Teladoc – How to Get Started

   Aetna Forms:

• HMO Enrollment Form
• PPO (OAMC) Enrollment Form
• Out of Area (OOA) Enrollment Form
• Disabled Dependents Form – Member
• Disabled Dependents Form – Physicians
  
• Pharmacy Mail Order Form
  
• Transition of Coverage Request Form
• PHI Auth for Release  (English)
• PHI Auth for Release  (Spanish)

   Kaiser:

• My Health Manager
  
• KP Mobile App
  
• Right Time Right Care
• Telephone Appointments
• Advice Nurse
  
• Healthy Lifestyle Programs
  
• Emergency Services Vs Urgent Care
• Mental Health & Wellness Services

Dental

• Delta Dental Plan Enrollment/Change Form
• Stay Connected  (website & mobile app)
• Where’s My ID Card
• Find A Network Dentist
• Cost Estimator
• Pre-treatment Estimate
• Amplifon  (hearing aid discounts)
• QualSight  (LASIK discounts)

Vision

• VSP Enrollment Form
  
• VSP Member Reimbursement Form
  
• TruHearing Discount Program – Available to Districts with VSP
• Better Employee Value
• Exclusive Member Extras
• Combat Digital Eye Strain

Life

• Mutual of Omaha Evidence of Insurability Forms
  
• Mutual of Omaha Group Life &/or Accidental Death Forms

Misc.

• Commonly Used Insurance Acronyms