Member Resource Library

Useful tools and information for current and prospective Brandman Health Plan members

Finding Care

Find a Physician

24 Hour Nurse Advice Line
Call 888-969-3909

Transportation
Call 844-743-7179

Enrollment Questions?

Contact Us

Call 888-697-5662 (TTY: 711)
Hours: 8:00 am – 8:00 pm, Mon-Fri

Plan Forms & Notices

Click through the sections below to find helpful plan information.

Arise

English

2021 Formulary Download

Arise Summary of Benefits Download

Arise Enrollment Application Download

Arise 2021 Evidence of Coverage Download

Spanish

Arise Enrollment Form (Spanish) Download

Arise Summary of Benefits (Spanish) Download

Arise-D
Aspire
Aspire-D

Additional Benefits

Part D

Drug Coverage and Information

Forms & Notices

Click to view or download.

Downloads
Right to Expedited Grievance BHP Prior Authorization Form BHP Medical Reimbursement Claim Form BHP Coverage Request - English BHP Coverage Request - Spanish BHP Redetermination Form Notice of Rights for Expedited Request
Links
Authorizations Best Available Evidence (BAE) Medicare Electronic Complaint Form

Questions about Programs or Enrollment? Contact Us