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Download the COVID-19 (Coronavirus) Resource Guide (as of September 2, 2020), created especially for our valued customers.

By Plan Type

Dental

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

Medical

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

Applicable Products:
Commercial PPO/EPO &
Exchange POS/EPO

Applicable Products:
Commercial HMO & POS