Member EOB Flyer

Form #R006-178_PHP

Audience: Members

Format: Flyer

Provide to members to help them understand their EOBs.

Updated: 10/23

Promise Health Plan Design & Solution Overview Brochure

Form #B680-MK122_PHP

Audience: Brokers

Format: Brochure

Get a look at Promise Health Plan's flexible plan designs, capabilities, and locations requirements.

Updated: 12/23

Promise Health Plan Medical Claims Form

Form #N/A

Audience: Employers/Clients

Format: Form

Share with clients who need to complete a medical claim.

Updated: 4/24

Frequently Asked Questions - Employers

Form #LH-3085-PHP

Audience: Employers/Clients

Format: Brochure

Share with employers to answer frequently asked questions.

Updated: 12/23

Portal Eligibility Submission Tutorial Flyer

Form #LH-3227-PHP

Audience: Brokers

Format: Flyer

Share with brokers and clients to walk them through how to submit eligibility updates via the portal.

Updated: 5/24

A Broker's Guide To Registering on mypromisehealthplan.com

Form #LH-2647-PHP

Audience: Brokers

Format: Brochure

Share with brokers to walk them through how to register for the portal.

Updated: 1/24

Benefit Spending Accounts Consumer Portal QuickStart Guide

Form #LH-1269-PHP

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: 3/26

Employer Application for Shelf Level-Funded Plans

Form #N/A

Audience: Employers/Clients

Format: Form

This form is for level-funded plans. Provide it to employers to gather information on benefits selections, enrollment, eligibility, etc.

Updated: 10/25

Members FSA-HRA FAQ (with FSA/HRA benefit card) Flyer

Form #LH-1677-PHP

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

New Client Finance Document (ASO)

Form #N/A

Audience: Internal, Brokers

Format: Flyer

This form outlines the workflow and information needed to set up financial interactions between Promise Health Plan and its clients.

Updated: 1/24

Promise Health Paper Enrollment Form

Form #N/A

Audience: Members

Format: Form

Share with members to initiate the enrollment process.

Updated: 4/24

Access Your ID Card Online Member Flyer

Form #LH-2455-PHP

Audience: Members

Format: Flyer

Share with members to promote accessing their ID card digitally via the portal or mobile app.

Updated: 4/24

Annualized Dependent Care Reimbursement Form

Form #LH-2055-PHP

Audience: Employers/Clients

Format: Form

Share with clients for employees requesting reimbursement from dependent care accounts.

Updated: 3/24

Promise Health Plan Case Management Process Flow

Form #R450-2909_PHP

Audience: Brokers

Format: Brochure

Review how the Promise Health Plan case management process works, including affected diagnosis codes.

Updated: 12/23

FSA Direct Deposit Form

Form #LH-2058-PHP

Audience: Employers/Clients

Format: Form

Share with clients for employees requesting direct deposit to FSAs.

Updated: 3/24

Transition of Care/Continuity of Care Member Flyer

Form #LH-2942-PHP

Audience: Members

Format: Flyer

Gives employers and members an overview of transition of care process; to be paired with transition of care form.

Updated: 3/24

Is it in-network? Member Flyer

Form #R450-1883_PHP

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: 10/23

Knowing Where to go for Care Member Flyer

Form #R450-1495_PHP

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, or the ER.

Updated: 9/25

myPromiseHealthPlan.com Member User Guide

Form #LH-2200-PHP

Audience: Members

Format: Brochure

Step-by-step overview of the myPromiseHealthPlan.com member portal.

Updated: 3/26

New Member Welcome Letter (ESI + PHCS)

Form #LH-1191-PHP-ESI-PHCS

Audience: Members

Format: Flyer

Provide members with this welcome letter to introduce them to Promise Health Plan and provide answers on key FAQs. This version includes the ESI/PHCS ID card + contact info.

Updated: 4/24