Forms & Materials
Please click below to explore member materials. If you have a question about specific plan benefits, please contact the SelectHealth Care Team by calling 1-866-469-7774 (TTY: 711),
8 am — 6 pm, Monday – Friday.
English/Spanish
DownloadClick here to find a provider or pharmacy near you using our online search.
Or download and search by borough, below.
Manhattan - English/Spanish
DownloadBrooklyn - English/Spanish
DownloadThe Bronx - English/Spanish
DownloadQueens - English/Spanish
DownloadNassau County - English/Spanish
DownloadWestchester - English/Spanish
DownloadCommunity Oriented Recovery and Empowerment (CORE) Services – English
DownloadCommunity Oriented Recovery and Empowerment (CORE) Services – Spanish
DownloadApplied Behavioral Analysis (ABA) Services Covered by NYS Medicaid - English
DownloadApplied Behavioral Analysis (ABA) Services Covered by NYS Medicaid - Spanish
DownloadPT, OT, ST Service Limits - English
DownloadPT, OT, ST Service Limits - Spanish
DownloadChildren and Family Treatment and Support Services (CFTSS) - English
DownloadChildren and Family Treatment and Support Services (CFTSS) - Spanish
DownloadCrisis Residence Services for Children and Adults - English
DownloadCrisis Residence Services for Children and Adults - Spanish
DownloadMaximum Copay - English
DownloadMaximum Copay - Spanish
DownloadDiabetes Prevention Program Services - English
DownloadDiabetes Prevention Program Services - Spanish
Download
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The SelectHealth coverage areas are: Brooklyn, the Bronx, Manhattan, Queens, Nassau and Westchester counties.
