Our representatives will respond within one business day. If you need an immediate response, please call us at the number on your member card.
If you have coverage through an employer group, the majority of demographic changes (e.g., name, date of birth, Social Security number, and address) must be completed through your group.
If you enrolled through the NY State of Health Marketplace, please visit their website https://nystateofhealth.ny.gov/ to update your policy.
- Follow this link to submit Healthy New York Enrollment or Recertification Form .
- Medical Claim (PDF)
- Prescription Drug Claim (PDF)
- Compound Prescription Drug Claim (PDF)
- Dental Claim (PDF)
- valucare Gym Membership Incentive Reimbursement Form (PDF)
(Optional) If you didn't expect to receive a bill from the provider