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  • Bayou Health Enrollment Form

Get Bayou Health Enrollment Form

Enrollment Form Use this form to choose a Health Plan and a primary care provider PCP for each person listed. If you don t choose a PCP the Plan will choose one for you. It is best to make your own choice Barcode1 CaseCIN Head of Household Name Address 1 City State ZIP Code 1. Enroll online at www. bayouhealth. com 2. Call us at 1-855-BAYOU-4U 1-855-229-6848. The call is free.

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Related content

Enrollment Form - Louisiana Department of Health
Enroll online at www.bayouhealth.com. 2. Call us at 1-855-BAYOU-4U (1-855-229-6848). The...
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2021 Annual Enrollment - ULM.edu
Enroll in a health plan; Enroll in a supplemental insurance policy, such as: dental...
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Bayou orthohantavirus - Wikipedia
Bayou orthohantavirus (BAYV) is a species of Orthohantavirus first identified in 1993 in...
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Hotline - Help with Choosing a Provider. ... Amerigroup (prepaid plan) ... Community Health Solutions (shared savings plan) ... FAX: Enrollment forms. ... LaCare (prepaid plan) ... Louisiana Health Care Connections (shared savings plan) ... TTY Hotline - Help with Choosing a Provider. ... United Health Care of Louisiana (shared savings plan)

RELATED INFO Aetna Better Health. AmeriHealth Caritas. Healthy Blue. Louisiana Healthcare Connections. UnitedHealthcare Community Plan.

How do I switch? To change health plans by phone, call Healthy Louisiana at 1-855-229-6848 (TTY: 1-855-526-3346).

By phone using our automated IVR system, 1-866-595-8133.

Louisiana Healthcare Connections provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services Louisiana Healthcare Connections offers.

Joining Louisiana Healthcare Connections Is Easy Call toll free at 1-855-229-6848. Apply online at myplan.healthy.la.gov. Visit an in-person application center.

You can also call us at 1-866-595-8133 (Hearing Loss: 711), Monday through Friday, 7 a.m. to 7 p.m., to update your information or request a new Member ID Card.

Healthy Louisiana is the way most of Louisiana's Medicaid and LaCHIP recipients receive health care services. The overriding goal is to encourage enrollees to own their own health and the health of their families. In Healthy Louisiana, Medicaid recipients enroll in a Health Plan.

Apply online by visiting the Medicaid Self-Service Portal. Download and print an application. Then mail or fax all pages to Medicaid as directed on the form. Call Medicaid Customer Service toll free at 1-888-342-6207 to apply by phone.

Welcome | Healthy Blue – Louisiana Medicaid.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232