Information and Resources on Hurricane Helene. Are you in North Carolina and need help because of Hurricane Helene? View the DPS website for helpful information.
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Information and Resources on Hurricane Helene. Are you in North Carolina and need help because of Hurricane Helene? View the DPS website for helpful information.
Main Menu
- Our Health Plans show Our Health Plans menu
- Join WellCare of North Carolina show Join WellCare of North Carolina menu
-
For Members
show For Members menu
-
Find everything you need in the member
online account- View your claims
- Review your plan benefits
- View rewards points total
Find and enroll in a plan that's right for you.
-
Member Materials and Forms
Reference Materials
Quick Reference Guide (QRG)
Reference Materials
- 2024 Transparency Notice
- 2023 Transparency Notice
- Women's Health and Cancer Rights Act Annual Notice
- Statement of Non-Discrimination
- Interoperability and Patient Access
- Cost Comparison Tool
- Wellness and Health Information
- Preventive Services Guide (PDF)
Forms
- Grievance and Appeals Form (PDF)
- Member Reimbursement Medical Claim Form (PDF)
- Member Reimbursement Form - OTC Covid Test (PDF)
- Donor Transplant Travel Reimbursement Form (PDF)
- Recipient Transplant Travel Reimbursement Form (PDF)
- Authorization to Disclose Health Information Form - English (PDF)
- Authorization to Disclose Health Information Form - Simplified Chinese (PDF)
- Authorization to Disclose Health Information Form - Traditional Chinese (PDF)
- Authorization to Disclose Health Information Form - Vietnamese (PDF)
- Revocation of Authorization Form (PDF)
- Prescription Claim Reimbursement Form (PDF)
- Authorized Representative Designation Form (PDF)