Find Your Plan
Find a Doctor
A form to request reimbursement for out of pocket payment of prescription drugs
A list of Special Enrollment reasons and verification documents
A form to allow MHC to release information to someone else
A form to authorize monthly payments
A form to report changes to off exchange coverage
Information on your appeal rights.
Click to go to an online form to file an appeal.
Medical Services Electronic Form
Behavioral Health/Substance Treatment
Skilled Nursing Facility & Acute Rehab
Home Health Care Services
Consent Allowing You to Appeal on Behalf of your Patient
Prior Authorization Request Form