Resource List

Here is a list of resources where you can find forms and other information for your insurance.

This is just going to be a list of resources for information from the biggest insurance companies, as well as some independent information to help with anything from coverage to appeals.

I’m organizing it by insurer so it’s easier to look through and find what you need.

Aetna Resources:

• Aetna Member Website: https://www.aetna.com/individuals-families.html

• Find a doctor: https://www.aetna.com/individuals-families/find-a-doctor.html

• Find a medication: https://www.aetna.com/individuals-families/find-a-medication.html

• Forms: https://www.aetna.com/individuals-families/using-your-aetna-benefits/find-form.html

• Medicare drug and other Medicare information: https://www.aetna.com/medicare/prescription-drugs/check-medicare-drug-list.html

• Formulary: https://www.aetna.com/individuals-families/find-a-medication.html

• FAQs: https://www.aetna.com/faqs-health-insurance.html

• EOB guide: https://member.aetna.com/memberSecure/assets/pdfs/EOB%20Guide.pdf

• Appeals/Complaint form: https://www.aetna.com/document-library/healthcare-professionals/documents-forms/provider-complaint-appeal-request.pdf

• Precertification list (This is how you check to see if a PA is required): https://www.aetna.com/health-care-professionals/precertification/precertification-lists.html

• Prescription Drug information: https://www.aetna.com/individuals-families/pharmacy.html

• CPB (Utilization Management): https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html

BCBS/Anthem

• Member Website: https://www.bcbs.com/

• Find a doctor: https://www.bcbs.com/member-services/find-a-doctor

• Member Services: https://www.bcbs.com/member-services

• FAQ: https://www.bcbs.com/support-resources/frequently-asked-questions

• EOB: https://www.bcbstx.com/docs/tx/understanding-eob-tx.pdf

• Utilization Management: https://www.horizonblue.com/providers/policies-procedures/policies/medical-policies/policyterms?destination=/providers/policies-procedures/policies/medical-policies/search/keyword-all

• Forms: https://www.anthem.com/forms

• Precertification look-up: https://www.horizonblue.com/providers/news/news-legal-notices/prior-authorization-procedure-search-tool-available

• Formulary updates 2025: https://www.bcbstx.com/docs/rx-drugs/drug-lists/tx/rx-list-multi-bas-tx-2025.pdf

• List of formularies: https://www.anthem.com/pharmacy-information/drug-list-formulary

• Pharmacy info https://www.anthem.com/pharmacy-information

• More Pharmacy info: https://www.anthem.com/pharmacy-information/for-members

• Formulary search function: https://www.anthem.com/pharmacy-information/drug-list-formulary

• Medicare complaint, Grievance, and Appeals form: https://www.anthem.com/medicare/complaints-grievances

• Individual and Family Complaint, Appeals, and Grievance forms: https://www.anthem.com/ca/individual-and-family/complaints-grievances

Cigna

• Member Website: https://www.cigna.com/

• Find a Provider: https://www.cigna.com/health-care-providers/

• Coverage and Claims: https://www.cigna.com/health-care-providers/coverage-and-claims/ (This has links to everything to do with coverage and claims, so I don’t need a seperate link)

• Pharmacy: https://www.cigna.com/health-care-providers/pharmacy/

• Utilization Management: https://static.cigna.com/assets/chcp/resourceLibrary/coveragePolicies/index.html?_gl=1*1fl9302*_gcl_au*ODQ3NjI2NTY4LjE3NDUzNDAzNjU.&_ga=2.245398660.1019394256.1745340365-485010550.1745340365

• Medicare resources: https://www.cigna.com/medicare/member-resources/

• Second Find a Doctor: https://hcpdirectory.cigna.com/web/public/consumer/directory?_gl=1*md8f7h*_gcl_au*ODQ3NjI2NTY4LjE3NDUzNDAzNjU.&_ga=2.36320416.1019394256.1745340365-485010550.1745340365

• All member resources: https://www.cigna.com/individuals-families/member-guide/

• FAQ list: https://www.cigna.com/search?query=FAQs#cigna

• EOB: https://www.cigna.com/static/www-cigna-com/docs/832700_e_Choice_Fund_EOB_v2.pdf

United Healthcare

• Member Website: This link is wayyy to long.

• Forms: https://www.uhc.com/member-resources/forms

• FAQs: https://www.uhc.com/member-resources/faq

• Understanding Health Insurance overview: https://www.uhc.com/understanding-health-insurance

• Appeals: https://memberforms.uhc.com/Memberappealsandgrievances.html

• Programs: https://www.uhc.com/member-resources/health-care-programs

• Pharmacy information including formulary: https://www.uhc.com/member-resources/pharmacy-benefits/prescription-drug-lists

• Pharmacy FAQ https://www.uhc.com/member-resources/pharmacy-benefits/faq

• Prior Auth resources: https://www.uhcprovider.com/en/prior-auth-advance-notification.html

• Medicare information: https://www.uhc.com/medicare

Centene

• Website: https://www.centene.com/

OK so this website sucks. It’s really hard to navigate.

• Pharmacy: https://www.centenepharmacy.com/forms.html

• Formulary: https://www.centenepharmacy.com/formulary.html

• Prior Authorization for Pharmacy: https://www.centenepharmacy.com/pa-guidelines.html

• Covermymeds: https://www.covermymeds.health/prior-authorization-forms/centene

• Prior Auth form: https://www-fl.centene.com/content/dam/centene/Sunshine/Advantage/PDFs/Medicare%20Outpatient%20Prior%20Authorization%20Fax%20Form.pdf

• Browse by state: https://www.centene.com/products-and-services/browse-by-state.html (this is where you can get resources. I actually hate this a lot. It’s stupid.)

Kaiser Permenente

• Member Website: https://healthy.kaiserpermanente.org/southern-california/support (this is for California. They are seperated by state too…)

• Forms: https://healthy.kaiserpermanente.org/southern-california/support/forms

• Related Links:https://healthy.kaiserpermanente.org/southern-california/support/forms

• Find Care: https://healthy.kaiserpermanente.org/southern-california/doctors-locations#/simple-form

• Health insurance FAQ: https://healthy.kaiserpermanente.org/southern-california/doctors-locations#/simple-form

• Utilization Management (CPB) https://healthy.kaiserpermanente.org/southern-california/pages/utilization-management

• More Info about Utilization management: https://healthy.kaiserpermanente.org/southern-california/pages/search?query=utilization+management&category=global&language=english&region=sca

• Formulary information: https://healthy.kaiserpermanente.org/southern-california/health-wellness/drug-formulary

• More Formulary: https://online.lexi.com/lco/action/home?refid=2

• Medicare info: https://healthy.kaiserpermanente.org/southern-california/pages/search?query=Medicare+information&category=global&language=english&region=sca

I will do a second list with more of these at a later date. These are just the big ones.

Independent resources:

• Health insurance dictionary: https://www.healthcare.gov/sbc-glossary/

• Help with denials: https://content.naic.org/sites/default/files/consumer-health-insurance-appeal-denied-claims.pdf

• Request an external review: https://www.kff.org/affordable-care-act/state-indicator/external-appeals-review-processes/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

• Peer to Peer: https://www.priorauthtraining.org/a-look-into-peer-to-peer/

• Medicare complaint form: https://www.medicare.gov/my/medicare-complaint

• Complaint assistance: https://content.naic.org/article/how-file-complaint-and-research-complaints-against-insurance-carriers

Thanks for reading!

~Ana the insurance demon

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