Download the COVID-19 (Coronavirus) Resource Guide (as of May 15, 2020), created especially for our valued customers.

Forms by Plan Type

Find Dental, Medical, Pharmacy and Spending/Savings Account.

Dental Forms

Forms/documents related to Horizon's dental plans, such as enrollment forms, claim and predetermination forms, etc.

Medical Forms

Forms/documents related to Horizon's medical plans, such as enrollment forms, claim and predetermination forms, authorization forms, coordination of benefit forms, etc.

Medicare Group

Forms for Medicare Advantage (MA) and Medicare Advantage Prescription Drug (PDP) Group plans.

Pharmacy Forms

Forms/documents related to Horizon's Pharmacy plans, such as enrollment forms, claim and predetermination forms, etc.

Spending / Savings Account Forms

Forms/documents related to Horizon's Spending/Savings Account plans, such as enrollment forms, claim and predetermination forms, etc.