Below are forms that you may need from Health Plus.
The documents on this page are available in Adobe Acrobat Format. Click on the icon to download forms.

 Claim Adjustment Form
 HPL Preauthorization Fax Form
 HPL Preauthorization List
 Notice of Privacy Practices
 Health Plus of Louisiana Member Formulary Guide
 UB92 Service Date Spans
 Specialty Drug List
 Medco Specialty Pharmacy Order Form
 Service Area Participating Pharmacies
 Medco Health Home Delivery Form

The documents on this page are available in Adobe Acrobat format. Adobe Acrobat can be downloaded here.