Important documents for AlohaCare QUEST Integration members.
Click here to request hard copies of any of these materials. Hard copies are free upon request and will be provided within five business days.
|The Member Handbook tells you about your benefits and the programs that are available to you as an AlohaCare member.|
|This directory is a list of network providers.|
|This form lets you change your Primary Care Provider (PCP)|
|If you are enrolled in the Pharmacy Home Program, this form lets you change your Pharmacy Home or Designated Prescriber.|
|Complete and mail in this form to sign up to have medicine you take on a regular basis to be delivered to your home.|
|This form gives permission for a person to act on your behalf to file a grievance, appeal or coverage determination for you.|
|This notice describes how medical information about you may be used and shared and obtained.|
|This form lets you choose who to share information with and what information to share.|
|Our member newsletter offers members general health advice and information about our services.|
|This form allows you to file a claim if you paid out of pocket for a prescription. All claims are subject to review and approval. Please remember to always show your member ID card before picking up a prescription.|
|Please complete this form if your injury or illness happened at work or as a result of an automobile accident.|
|Non-Emergent Medical Transportation: IntelliRide||Starting March 1, 2021, IntelliRide will make your travel arrangements.|
Health Risk Assessment