HealthWorx Members

Member Resources

Handbooks and Directories

 
HealthWorx HMO Evidence of Coverage (2931 KB)
 
HealthWorx HMO Summary of Benefits (832 KB)
 
HealthWorx HMO Provider Directory (3809 KB)

Download the list of covered drugs

 Download the formulary

The formulary includes covered medications. See the last section for an alphabetical index.

Forms

 
Confidential Member Complaint Form (178 KB)
 
Appointment of Representative Form (93 KB)
 
Advanced Health Care Directive (240 KB)
 
Protected Health Information Request Form (153 KB)

Notices and Announcements

 
Medi-Cal 2019 Formulary Changes (438 KB)
 
Medi-Cal 2020 Formulary Changes (165 KB)
 
Member Nondiscrimination Notice - Large Print (436 KB)
 
Notice of Privacy Practices (179 KB)

Member Newsletter

 
HealthMatters Fall 2019 (2352 KB)