Welcome Kit

Step One | Get to know your plan.

We encourage you to review the following information as soon as you can.

Ensure you have a positive experience when using your health plan by reviewing your Summary of Benefits:  

We encourage you to also review other important plan documents listed here.

Other Health Insurance—If you have other health insurance, please respond to the letter we send or call Member Services so we can coordinate your benefits correctly.

 Post-Enrollment Checklist

First Steps for Enrollees

 Member Handbook

Authorization to Release Information Form

 Electronic Payment Authorization Form

 Health Plan Member Rights & Responsibilities

 Notice of Privacy Practices

Step Two| Find a Provider or Specialist.

Explore the provider network and submit forms relating to your health care management.

The US Family Health Plan is a managed care plan. Your primary care provider manages all of your medical care, including routine, acute, follow-up, and preventive care. Your provider will also refer you for any needed specialty care.

In- and Out-of-Network Services: The Martin’s Point US Family Health Plan has developed a very comprehensive network of hospitals, primary care providers, and specialists. Although you can see any provider you want, in order to receive the benefits under the US Family Health Plan, you must use the providers in our network. An exception to this is if you receive authorization from Martin’s Point for a service at an out-of-network provider.

Point-of-Service Option: This allows you the flexibility to choose to see a TRICARE^®-authorized provider without an approved referral. Learn More

Transfer Medical Records - WHERE IS THIS FORM?

Seeing a new doctor? Be sure to request a records transfer at least two weeks before your first appointment.

Transition of Care Form

Prevent health coverage gaps during your transition to Martin's Point US Family Health Plan by completing the Transition of Care form.

Appoint a Designated Representative

Control how your health information or plan payments are shared by authorizing with this simple consent form.

Authorize Representative for TRICARE Appeal

Facilitate your appeal process by authorizing the disclosure of necessary health information with this form.

Step Three | Manage your medications.

Find your local in-network pharmacy and check coverage information for specific medications.

Members may fill prescriptions at any of our in-network retail pharmacies including:

New Prescription Fills | Maintenance Medications
One-Time or Urgent Prescriptions

Are your prescriptions covered? Use the Formulary Search Tool to get coverage information for a specific drug: 

Through CCC, we currently have a large number of retail pharmacies in our nationwide network. DO WE HAVE RETAIL OR ONLY MAIL ORDER?

Visit the Pharmacy & Prescription Resources page for more details about your plan's drug coverage.

Drug Reimbursement Form

Download the Mail-Order Pharmacy Quick Start Guide

Download an Alternate Address Form

Step Four| Create your portal account.

We encourage you to create a portal account so you can manage your plan online.

By creating an account, members can get access to tools and information to help you manage your plan and your health.

Ready to get started? You can sign up for online access after the effective date listed on your Member ID card.

Update Your Primary Care Provider (PCP)

 Request a Member ID Card

View Claims and Authorizations

 Make One-Time Plan Premium Payment

Step Five | Explore plan extras and discounts.

Maximize the impact of your health care plan by taking advantage of these helpful benefits.

Eyewear Discounts—unlock exclusive discounts on eyewear through our partnership with EyeMed Vision Care.

Hearing Discounts—Gain access to exclusive discounts on hearing aids and batteries through our partnership with Amplifon.

Value-Added Discounts—Access to a range of services that keep you feeling your best. Receive discounts of 10–30% off complementary and alternative medical treatments through our partnership with WholeHealth Living Choices (Tivity Health).

Health Coaching & Fitness—Keep on top of your everyday health with personal coaching and guidance, discounts on gym memberships, and a 24-hour nurse line.

Mental & Behavioral Health Resources—Outpatient and inpatient care related to the treatment of diagnosed mental health or substance abuse conditions.

WILL LINK TO MEMBER BENEFIT PAGES