Your ID card, claims, drug list, forms, and health records — without the hold music.
View claims and EOBs, print a replacement ID card, check your drug tier, track your OTC balance, and connect a health app.
The nine things members actually call about.
View, print, or request a replacement member ID card, or add it to your phone wallet.
See what was billed, what the plan paid, and what you owe — usually within 48 hours of a visit.
Look up your prescriptions, see the tier and copay, and compare pharmacy prices.
Check whether a service needs approval and track the status of a pending request.
File a complaint or appeal a coverage decision. We respond to standard appeals within 30 days.
Download your data or connect a third-party app. Get started →
Plan year 2026. Sample documents for demonstration purposes.
| Document | Applies to | Format | |
|---|---|---|---|
| Evidence of Coverage (EOC) | All plans | Download | |
| Summary of Benefits | All plans | Download | |
| Annual Notice of Changes (ANOC) | Current members | Download | |
| 2026 Comprehensive Formulary | All plans | PDF / API | Download |
| Provider & Pharmacy Directory | All plans | PDF / API | Search online |
| Appointment of Representative (CMS-1696) | All plans | Download | |
| Coverage Determination Request | Part D | Download | |
| Reimbursement Claim Form | All plans | Download | |
| Health Data Access & App Authorization Guide | All plans | Web | Read online |
Most in-network claims post to the portal within 48 hours of processing. Out-of-network and paper claims can take up to 30 days.
File within 60 days of the denial notice. Standard appeals are decided within 30 days; expedited appeals within 72 hours when your health requires it.
Yes. Submit an Appointment of Representative form, or grant delegated access from the portal’s Sharing settings.
Contact us right away. Moving triggers a Special Enrollment Period, and we will help you understand your options.
Go to Portal → Sharing → Connected apps and select Revoke. Access ends immediately, though data the app already downloaded is governed by that app’s own privacy policy. More on connecting apps.