Welcome to the Document Library
The Document Library features tools and resources to support Wellstar Health Plan’s health benefit plan solution. Use the dropdown below to navigate our library of materials
Document Library
Category:
FSA - HRA - HSA (DTE)
Member Spending Accounts Mobile App Quickstart Guide
Form #LH-1545-WS
Audience: Members
Format: Flyer
Share with members as an introduction to the FSA/HRA mobile app; walks them through using the app for the first time.
Updated: 11/24
FSA/HRA Employer Portal QuickStart Guide
Form #LH-1268-WS
Audience: Members
Format: Brochure
Share with members as a guide to accessing their online portal to submit claims, view account balances, download plan information, upload receipts, track expenses and more.
Updated: 6/24
Commuter Benefits (FSA/HRA benefit card)
Form #LH-1672
Audience: Members
Format: Flyer
Share with members to show how to use FSA/HRA benefit card to pay for commuter expenses
Updated: 4/24
Benefit Spending Accounts Consumer Portal QuickStart Guide
Form #LH-1269
Audience: Members
Format: Brochure
Share with members as a guide to accessing their online portal to submit claims, view account balances, download plan information, upload receipts, track expenses and more.
Updated: 4/24
Know Your Medical FSA Eligible and Ineligible Expenses Brochure
Form #LH-389
Audience: Members
Format: Brochure
Share with members to give members a broad overview of what they can and cannot pay for using funds in their FSA.
Updated: 4/24
Members FSA-HRA FAQ (with FSA/HRA benefit card) Flyer
Form #LH-1677-WS
Audience: Members
Format: Flyer
Share with members to answer common questions that come up about their FSA and how to use their card.
Updated: 4/24
Benefits Spending Account Enrollment Guide Brochure
Form #LH-203-WS
Audience: Members
Format: Brochure
Share with members as a guide to help them enroll in their flexible spending account benefits.
Updated: 4/24
Claim Form: FSA Reimbursement Form
Form #R450-2059
Audience: Members
Format: Form
Share with members requesting reimbursement from FSAs.
Updated: 4/24
Claim Form: Health Reimbursement Account Reimbursement Form
Form #LH-2056-WS
Audience: Members
Format: Form
Share with members requesting reimbursement from health reimbursement accounts.
Updated: 4/24
Claim Form: Commuter Benefits FSA Reimbursement Form
Form #LH-2057-WS
Audience: Members
Format: Form
Share with members requesting reimbursement from commuter benefits FSAs.
Updated: 4/24
Annualized Dependent Care Reimbursement Form
Form #LH-2055-WS
Audience: Brokers
Format: Form
Share with clients for employees requesting reimbursement from dependent care accounts.
Updated: 4/24
Claim Form: FSA Direct Deposit Form
Form #LH-2058-WS
Audience: Members
Format: Form
Share with members requesting direct deposit to FSAs.
Updated: 4/24
FSA - HRA - HSA (WEMP)
FSA/HRA Employer Portal QuickStart Guide
Form #LH-1268-WS
Audience: Members
Format: Brochure
Share with members as a guide to accessing their online portal to submit claims, view account balances, download plan information, upload receipts, track expenses and more.
Updated: 6/24
Benefits Spending Account Enrollment Guide Brochure
Form #LH-203-WS
Audience: Members
Format: Brochure
Share with members as a guide to help them enroll in their flexible spending account benefits.
Updated: 4/24
Benefit Spending Accounts Consumer Portal QuickStart Guide
Form #LH-1269-WEMP
Audience: Members
Format: Brochure
Share with members as a guide to accessing their online portal to submit claims, view account balances, download plan information, upload receipts, track expenses and more.
Updated: 4/24
Commuter Benefits (FSA/HRA benefit card) Flyer
Form #LH-1672-WS
Audience: Members
Format: Flyer
Share with members to show how to use FSA/HRA benefit card to pay for commuter expenses
Updated: 4/24
Claim Form: FSA Reimbursement Form
Form #LH-2059-WS
Audience: Members
Format: Form
Share with members requesting reimbursement from FSAs.
Updated: 4/24
Claim Form: FSA Direct Deposit Form
Form #LH-2058-WEMP
Audience: Members
Format: Form
Share with members requesting direct deposit to FSAs.
Updated: 4/24
Claim Form: Health Reimbursement Account Reimbursement Form
Form #LH-2056-WEMP
Audience: Members
Format: Form
Share with members requesting reimbursement from health reimbursement accounts.
Updated: 4/24
Claim Form: Commuter Benefits FSA Reimbursement Form
Form #LH-2057-WEMP
Audience: Members
Format: Form
Share with members requesting reimbursement from commuter benefits FSAs.
Updated: 4/24
Claim Form: Annualized Dependent Care Reimbursement Form
Form #LH-2055-WEMP
Audience: Members
Format: Form
Share with members requesting reimbursement from dependent care accounts.
Updated: 4/24
Know Your Medical FSA Eligible and Ineligible Expenses Brochure
Form #LH-389-WEMP
Audience: Members
Format: Brochure
Share with members to give members a broad overview of what they can and cannot pay for using funds in their FSA.
Updated: 4/24
Members FSA-HRA FAQ (with FSA/HRA benefit card) Flyer
Form #LH-1677-WEMP
Audience: Members
Format: Flyer
Share with members to answer common questions that come up about their FSA and how to use their card.
Updated: 4/24
Member Spending Accounts Mobile App Quickstart Guide
Form #LH-1545-WEMP
Audience: Members
Format: Flyer
Share with members as an introduction to the FSA/HRA mobile app; walks them through using the app for the first time.
Updated: 4/24
Members (DTE)
Shop for Care and Save Money (Healthcare Bluebook Member Flyer)
Form #LH-3151-WS
Audience: Members
Format: Flyer
Share with members to show them how to shop for care and save money with Healthcare Bluebook.
Updated: 9/24
Perspecta Provider Search User Guide - Members
Form #LH-3239-WS-Member
Audience: Members
Format: Brochure
Share with members to provide step-by-step instructions for how to access and use the Provider Search Module.
Updated: 7/24
Access Your ID Card Online Member Flyer
Form #LH-2455-WS
Audience: Members
Format: Flyer
Share with members to promote accessing their ID card digitally via the portal or mobile app.
Updated: 5/24
Member Frequently Asked Questions Flyer
Form #LH-3089-WS
Audience: Members
Format: Flyer
Share with members to answer common question about the health plan.
Updated: 5/24
Three Reasons to See Your PCP Member Flyer
Form #LH-2645-WS
Audience: Members
Format: Flyer
Provide to members to help educate them about why they should regularly see their PCP.
Updated: 5/24
Pre-certification and Your Health Benefits Flyer
Form #LH-2498-WS
Audience: Members
Format: Flyer
Information about pre-certification, including what it is and how to submit for it.
Updated: 5/24
ID Card Insert
Form #LH-1221-WS
Audience: Members
Format: Flyer
Supplemental piece that can be sent to members with their ID cards.
Updated: 5/24
ID Card Carrier
Form #LH-1129-WS
Audience: Members
Format: Flyer
Sent to members with their ID cards attached; contains language related to the No Surprises legislation
Updated: 5/24
Understanding Your EOB Member Flyer
Form #LH-178-WS
Audience: Members
Format: Flyer
Provide to members to help them understand their EOBs.
Updated: 5/24
wellstarhealthplan.org Member User Guide
Form #R450-2200_WS
Audience: Members
Format: Brochure
Provide members with this brochure to show them how to use and navigate the member portal, wellstarhealthplan.org.
Updated: 1/24
Sample EOB
Form #N/A
Audience: Members
Format: Flyer
Sent to members to show their claims and what their benefits paid.
Updated: 1/24
Knowing Where to go for Care Member Flyer
Form #LH-1495-WS
Audience: Members
Format: Flyer
Provide members with this flyer to help educate them about the appropriate location to receive care-their doctor's office, an urgent care facility, the ER, or Telemedicine.
Updated: 12/23
Is it in-network? Member Flyer
Form #LH-1883-WS
Audience: Members
Format: Flyer
Provide members with this flyer to help empower them to work with their doctor to find in-network care for lab work and planned surgeries.
Updated: 12/23
Portal Overview Flyer for Members
Form #R450-1218_WS
Audience: Members
Format: Flyer
Share with members to give them an overview of the portal, including opting in for electronic communications.
Updated: 12/23
Case Management Member Flyer
Form #LH-2974-WS
Audience: Members
Format: Flyer
Share with members to educate them on how case management can help them
Updated: 12/23
Member Mobile App Flyer
Form #R450-1162_WS
Audience: Members
Format: Flyer
Share with members to inform them about the capabilities of Wellstar Health Plan's mobile app and encourage them to download.
Updated: 12/23
Individual Case Management Member Flyer
Form #LH-32-WS
Audience: Members
Format: Flyer
Share with members to educate them on how case management can help them.
Updated: 12/23
Members (WEMP)
Employee Plan Member Welcome Journey Overview
Form #N/A
Audience: Members
Format: Excel/PowerPoint/Word
for internal and team review of the member welcome journey for Wellstar Employee Plan
Updated: 9/25
Archimedes-Wellstar Request for Pre-certification Form
Form #N/A
Audience: Providers
Format: Form
Give to providers to complete and send to Archimedes.
Updated: 6/24
Individual Case Management Member Flyer
Form #LH-32-WS
Audience: Members
Format: Flyer
Explains the benefits of case management.
Updated: 5/24
Access Your ID Card Online Member Flyer
Form #LH-2455-WEMP
Audience: Members
Format: Flyer
Provide members with this flyer to show them how to access their ID card online via our member portal, wellstarhealthplan.org.
Updated: 4/24
Medical Specialty Drug Management Prior Authorization Member Flyer
Form #LH-2765-WS
Audience: Members
Format: Flyer
Provide to members to help them understand the prior authorization process with Archimedes.
Updated: 4/24
Member's Guide to Wellstar Health Plan Portal Registration
Form #LH-714-WEMP
Audience: Members
Format: Brochure
Share with members to walk them through how to register for the portal.
Updated: 1/24
wellstarhealthplan.org Member User Guide
Form #R450-2200_WS
Audience: Members
Format: Brochure
Provide members with this brochure to show them how to use and navigate the member portal, wellstarhealthplan.org.
Updated: 1/24
Sample EOB
Form #N/A
Audience: Members
Format: Flyer
Sent to members to show their claims and what their benefits paid.
Updated: 1/24
Knowing Where to go for Care Member Flyer
Form #LH-1495-WS
Audience: Members
Format: Flyer
Provide members with this flyer to help educate them about the appropriate location to receive care-their doctor's office, an urgent care facility, the ER, or Telemedicine.
Updated: 12/23
ID Card Carrier Flyer
Form #LH-1129-WS-WEMP
Audience: Members
Format: Flyer
Sent to members with their ID cards attached.
Updated: 12/23
Three Reasons to Schedule Your Annual Exam Member Flyer
Form #LH-2645_WS-WEMP
Audience: Members
Format: Flyer
Provide to members to help educate them about why they should regularly see their PCP.
Updated: 12/23
Is it in-network? Member Flyer
Form #LH-1883-WS
Audience: Members
Format: Flyer
Provide members with this flyer to help empower them to work with their doctor to find in-network care for lab work and planned surgeries.
Updated: 12/23
Frequently Asked Questions - Members
Form #LH-3089-WEMP
Audience: Members
Format: Flyer
Share with members to answer frequently asked questions.
Updated: 12/23
Portal Overview Flyer for Members
Form #R450-1218_WS
Audience: Members
Format: Flyer
Share with members to give them an overview of the portal, including opting in for electronic communications.
Updated: 12/23
Case Management Member Flyer
Form #LH-2974-WS
Audience: Members
Format: Flyer
Share with members to educate them on how case management can help them
Updated: 12/23
Pre-certification Member Flyer
Form #LH-2498-WEMP
Audience: Members
Format: Flyer
Provide members with this flyer to answer FAQs about pre-certification, including what it is and why it's important.
Updated: 12/23
Wellstar Custom ID Card Insert
Form #LH-1221-WEMP
Audience: Members
Format: Flyer
Provide members with this flyer to show them how to access their benefits using Wellstar's online portal or mobile app.
Updated: 12/23
Member Mobile App Flyer
Form #R450-1162_WS
Audience: Members
Format: Flyer
Share with members to inform them about the capabilities of Wellstar Health Plan's mobile app and encourage them to download.
Updated: 12/23
New Member Welcome Letter
Form #LH-1191-WS
Audience: Members
Format: Flyer
Provide members with this welcome letter to introduce them to Wellstar Health Plan and provide answers on key FAQs.
Updated: 12/23
Member EOB Flyer
Form #LH-178-WS
Audience: Members
Format: Flyer
Provide to members to help them understand their EOBs
Updated: 11/23
Sales
Archimedes Drug List
Form #N/A
Audience: Providers
Format: Flyer
This document provides a full list of Archimedes drugs and effective dates. Use in conjunction with the Archimedes precertification form.
Updated: 1/25
Employer Group Application
Form #N/A
Audience: Brokers
Format: Form
Download and complete; please attach all Employee Applications to this Employer Group Application
Updated: 8/24
Perspecta Provider Search User Guide - Admin
Form #LH-3239-WS-Admin
Audience: Brokers, Employers/Clients
Format: Brochure
Share with clients and brokers to provide step-by-step instructions for how to access and use the Provider Search Module.
Updated: 7/24
Archimedes-Wellstar Request for Pre-certification Form
Form #N/A
Audience: Providers
Format: Form
Give to providers to complete and send to Archimedes.
Updated: 6/24
Predetermination Request Form
Form #LH-3226-WS
Audience: Members, Providers
Format: Form
Use this form to determine if a proposed treatment or service is covered.
Updated: 5/24
Portal Eligibility Submission Tutorial Flyer
Form #LH-3227-WS
Audience: Brokers
Format: Flyer
Share with brokers and clients to walk them through how to submit eligibility updates via the portal.
Updated: 5/24
Client / Broker Portal User Guide
Form #LH-2199-WS-0224
Audience: Brokers, Employers/Clients
Format: Brochure
Clients and Brokers can refer to this tutorial guide to learn about the capabilities of Wellstar Health Plan's portal and how to navigate it.
Updated: 2/24
A Client's Guide To Registering on wellstarhealthplan.org
Form #LH-2138
Audience: Employers/Clients
Format: Brochure
Share with clients to walk them through how to register for the portal
Updated: 1/24
A Broker's Guide To Registering on wellstarhealthplan.org
Form #LH-2647-WS
Audience: Brokers
Format: Brochure
Share with brokers to walk them through how to register for the portal.
Updated: 1/24
Provider Portal Registration Guide
Form #LH-2113
Audience: Providers
Format: Brochure
Providers can refer to this tutorial guide to learn how to create an account and register on Wellstar's portal.
Updated: 12/23
Wellstar Health Plan Slide Template
Form #N/A
Audience: Internal
Format: Excel/PowerPoint/Word
Use this branded template for all PowerPoint slides.
Updated: 12/23