Open the enrollment form below, download it and save it to your computer. Once saved, open that file, fill in all necessary fields, save the completed form again and attach and email it to the IDA Enrollment Department.
Express Scripts Forms
Cigna Forms & Programs
- Healthy Rewards - English / Spanish
- Active & Fit Healthy Rewards - English / Spanish
- Active & Fit Q&A - English
- Ask & Save - English / Spanish
- Care & Equipment - English
- Cost & Quality - English / Spanish
- Flu Shots- English
- Vaccine Program Participating Pharmacies - English
- Hearing Aid Program- English
- Know Your Plan- English / Spanish
- Medical Supplies Home Delivery- English
- Save on Labs- English / Spanish
- Save on Radiology- English / Spanish
- Substance Abuse Treatment - English
CignaRx - Cigna Pharmacy Service Center
If a member fills a script and pays out-of-pocket while the eligibility is being loaded with Cigna, please have the member complete the below and return it along with a copy of their pharmacy receipt to the address on page 2 and a reimbursement will be issued.
- Prescription Drug Claim Form - English
Brightline Behavior Health Program
- Announcing Brightline Behavior Health Program
- Pediatric Behavioral Health
- Get to Know Brightline
- Here's What's Covered
- How to Get Started
- Mobile Registration Instructions
- Brightline Videos
- Video - The Brightline Experience: Build for kids and teens, here for you
- Video - The Brightline Experience: Build for kids and teens, here for you (short)
- Video - The Brightline Experience: What's Different about Brightline's Care Model?
- Video - The Brightline Experience: How is coaching different than therapy?
- Video - The Brightline Experience: What are the benefits of teletherapy?
Transparency In Coverage - Machine Readable Files
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