Documents & Forms Center

State of Florida

State of Florida 2023 SPD - Member Handbook

State of Florida 2023 SPD - Member Handbook.pdf

State of Florida

State of Florida 2023 SPD - Member Handbook

State of Florida 2023 SPD - Member Handbook.pdf

State of Florida Dual Eligible Retiree Advantage (HMO) Schedule of Copayments

2022-SOF-DE-Schedule-of-Copayments.pdf

Members

State of Florida High Deductible Health HMO Plan SBC

sof-high-deductible-health-hmo-sbc.pdf

State of Florida Standard HMO 01.01.22

State of Florida Standard HMO 01.01.22.pdf

Tallahassee Memorial Hospital 15.30.50.20 1-1-22

Tallahassee Memorial Hospital 15.30.50.20 1-1-22.pdf

Providers

Thoracic Outlet Syndrome Com

Thoracic-Outlet-Syndrome-COMM.pdf

Tiered PCP Selection 15.30.50 2022

Tiered PCP Selection 15.30.50 2022.pdf

TMH & Medicus Handbook

2023.95.TMH-MbrHb.pdf

Agents, Employers, Members

Universal Prior Authorization Form

Universal Prior Authorization Form FILLABLE.pdf

Agents, Employers

Urgent Care Brochure

Urgent Care Brochure.pdf