HealthWorx Members

Member Resources

Handbooks and Directories

 
HealthWorx HMO Evidence of Coverage (2030 KB)
 
HealthWorx HMO Summary of Benefits (832 KB)
 
HealthWorx HMO Provider Directory (4331 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

 
Notice of Privacy Practices (143 KB)
 
Medi-Cal 2020 Formulary Changes (497 KB)
 
Medi-Cal 2019 Formulary Changes (438 KB)
 
Member Nondiscrimination Notice - Large Print (436 KB)

Member Newsletter

 
Health Matters Spring 2020 (2790 KB)