Application Forms
Extended Health Benefits
Client Forms
Provider Forms
Dental
- Important information for dental providers — November 2012
- EHB Dental-related medical travel prior approval form
Medical Supplies and Equipment
- Important information for medical supplies and equipment providers— Feb. 2012
- EHB Medical supplies and equipment prior approval form
- Important information for medical equipment and supplies providers — November 2012
- EHB Medical supplies/equipment and associated travel prior approval form
Prescription Drugs
Vision
- Important information for optical providers—Feb. 2012
- EHB Optical Prior Approval Form
- EHB Optical Claim Form