Claim Forms
Enrollment Forms
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
ProAct Forms
Miscellaneous Forms
Regulatory Forms
Cigna Forms & Programs
All Others
- 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
Transparency In Coverage - Machine Readable Files
In-Network Files
- Aetna
- AmeriHealth
- Anthem/Empire
- CIGNA
- Firsthealth
- MagnaCare
Out-Of-Network Files
- Reliant
- Zelis

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