Request Plan Materials
You can order various Plan materials, such as ID cards, member handbooks and brochures, from our
website. Just fill out the form below and be sure to indicate which item(s) you would like. If you
want to request more than one item, just click the "Back" button after making each request.
Plan Materials You Can View and Print Online
You also have online access to the following items:
Benefit Descriptions – View online benefit descriptions
that provide detailed information about
benefits and coverage for specific services available under the UniCare State Indemnity Plan,
such as preventive care and cardiac rehabilitation programs.
Please refer to the applicable Member Handbook for more information on Plan benefits, conditions, limitations and exclusions.
Claim Form – You can complete this form online and print it from your computer.