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  • Alignment Health Prior Authorization Request 2024

Get Alignment Health Prior Authorization Request 2024-2025

PRIOR AUTHORIZATION REQUESTFor assistance contact the Referrals/Authorizations Department at: Telephone (844) 9424226Please complete the following in its entirety and fax it to: Fax (562) 2074628Please.

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If your plan includes the Flex Allowance, you can use it toward out-of-pocket costs for covered dental, vision, or hearing products and services. You can even use it to help cover the difference if your expenses exceed the amounts covered by your plan's dental, vision, or hearing benefits.

Alignment Healthcare is a health insurance company headquartered in Orange, California, that provides Medicare Advantage plans.

Citizens Choice Health Plan changes name to Alignment Health Plan: Alignment Health.

Alignment Health Plan is an HMO, PPO and HMO SNP plan with a Medicare contract. Enrollment in Alignment Health Plan depends on contract renewal.

To verify member eligibility using our Interactive Voice Response (IVR) system call 1-888-517-2247 24 hours a day, 7 days a week: Select option 2.

Known as the ACCESS On-Demand Concierge card, Alignment's card also offers members of select plans an additional benefit known as the “Flex Allowance” to purchase dental, vision, hearing, chiropractic and acupuncture items and services – including dentures and veneers to alternative therapies like cupping – from both ...

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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