The following forms and booklets are available in Adobe Acrobat PDF format.  To get Adobe Acrobat, click here            

SIDS Dental Claim Form

Healthplex Participating Dentists - New York

Healthplex Participating Dentists - New Jersey and Pennsylvania

Healthplex-American Dental Participating Dentists - Florida

Participating Optical Centers - Metropolitan New York

Participating Optical Centers - Outside Metropolitan New York

Participating Hearing Centers

Home Health Care Aide Benefit Claim Form

Home Health Care Aide Claims Procedures

Home Health Care Aide Benefit Provider Record

Medicare and You - MEDCARE WEBSITE