Member ID Card

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

A new identification (ID) card is automatically sent when:

  • A new member enrolls
  • A member changes his or her name, physician or participating physician group (PPG)
  • The medical plan changes at renewal and the copayment changes

Refer to the samples to view a picture and descriptions of the fields on the:

These are sample ID cards only. The information included in them is subject to change. Providers should refer to a member's ID card when they present for services for current benefit and health plan information.