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

Healthplex Participating Dentists - New York

Healthplex Participating Dentists - New Jersey and Pennsylvania

Healthplex Participating Dentists - Florida

Healthplex Plan Description and Fee Schedule

Healthplex Enrollment Form

MEDCO Mail Order Form

MEDCO Direct Reimbursement Form

Participating Hearing Centers

Participating Optical Centers - Metro New York

Participating Optical Centers - Outside Metro New York