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Ascension Complete

Contracting


Information

Community Health Choices-Medicaid

Benefit Preview


Forms & Guides

Contact Information


Application Submission Options

2025 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Cigna

Contracting

Get Contracted

Information

2024 Benefit Preview


Forms & Guides

Contact Information


Application Submission Options

  • Fax Number for Applications: All locations except Arizona: 1-877-818-8163
  • Arizona Only: 1-855-531-9754
  • Online Application

2024 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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Fidelis Care

Contracting

Get Contracted

Information

2024 Benefit Preview

Provider Directories


Forms & Guides

Forms can be downloaded by visiting the carrier’s consumer portal.

Contact Information

  • Broker Support: 1-877-259-8428
  • Broker support email:
    • This email address is being protected from spambots. You need JavaScript enabled to view it.
    • This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Customer Service:
  • Broker Site
  • Consumer Site

Application Submission Options

2024 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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Geisinger Gold

Contracting

Get Contracted

Agents who are new to Geisinger Gold will receive an email after all required appointment documents have been received and approved by Geisinger Gold. Upon completion of the AHIP and product certification they will receive an email with their agent ID and the dates they are eligible to begin selling.


Information

2024 Benefit Preview

Provider Directories


Forms & Guides

Forms can be downloaded by visiting the carrier's consumer portal.

Contact Information


Application Submission Options

  • Fax Number for Applications: 570-271-5970 or 570-214-1552
    Must be submitted within 24 hours.
  • Mail: Geisinger Gold
    100 North Academy Avenue
    Danville, PA 17822-3227

2024 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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Health Net

Contracting

Get Contracted

Information

2024 Benefit Preview

Provider Directories


Forms & Guides

Forms can be downloaded by visiting the carrier's consumer portal.

Contact Information


Application Submission Options

  • Fax: 1-844-222-3180
  • Mail: Wellcare By Health Net
    PO Box 10420
    Van Nuys, CA 91499-6208

2024 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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