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-Sun

Important Information

Please download and review these notices.

Member Letter
Member Letter (Spanish)

MA Plan Options
MA Plan Options (Spanish)

2022 Plan Forms & Notices

Plan Forms & Notices

Click through the sections below to find helpful plan information.

Arise

English

Arise 2022 Evidence of Coverage Download

Arise 2022 Annual Notice of Change Download

Arise Enrollment Application Download

Spanish

Arise Enrollment Form (Spanish) Download

Arise 2022 Evidence of Coverage (Spanish) Download

Arise-D
Aspire
Aspire-D

Additional Benefits

New 'Part-D' - Drug Coverage and Information

Downloads
Links

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