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),
Monday – Friday, 8 am — 6 pm.
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 - English/Spanish
DownloadWestchester - English/Spanish
DownloadEffective April 1, 2023 prescription drugs are covered by Medicaid NYRx
Visit member.emedny.org to learn about the Medicaid NYRx program and search the formulary for covered prescription and OTC drugs.
Drug Formulary
DownloadSH Doula Services Insert – English
DownloadSH Doula Services Insert – Spanish
DownloadSH SBHC Insert – English
DownloadSH SBHC Insert – Spanish
DownloadSH Family Planning Insert – English
DownloadSH Family Planning Insert – Spanish
DownloadChildren’s Home and Community Based Services Update Effective 7/1/24 – English
DownloadChildren’s Home and Community Based Services Update Effective 7/1/24 – Spanish
DownloadNYRx Transition Effective 4/1/24 – English
DownloadNYRx Transition Effective 4/1/24 – Spanish
DownloadNYRx Transition Dual-Eligible Effective 4/1/24 – English
DownloadNYRx Transition Dual-Eligible Effective 4/1/24 – English
DownloadSH Mobile Crisis Mobile Crisis Telephonic Triage Response Service Effective 3/1/24 – English
DownloadSH Mobile Crisis Mobile Crisis Telephonic Triage Response Service Effective 3/1/24 – Spanish
DownloadDental Services Update Effective 1/31/24 – English
DownloadDental Services Update Effective 1/31/24 – Spanish
DownloadSH E-Notice – English
DownloadSH E-Notice – Spanish
DownloadGambling Disorder Treatment Provided by Office of Addiction Services and Supports (OASAS) Certified Programs Effective 1/1/23 – English
DownloadGambling Disorder Treatment Provided by Office of Addiction Services and Supports (OASAS) Certified Programs Effective 1/1/23 – Spanish
DownloadSH Inserts Booklet – English
DownloadSH Inserts Booklet – Spanish
DownloadSummer 2023 Member Newsletter - English
DownloadSummer 2023 Member Newsletter - Spanish
DownloadSpring 2023 Member Newsletter - English
DownloadSpring 2023 Member Newsletter - Spanish
DownloadWinter 2022 Member Newsletter - English
DownloadWinter 2022 Member Newsletter - Spanish
DownloadSpring 2022 Member Newsletter - English
DownloadSpring 2022 Member Newsletter - Spanish
DownloadWinter 2021 Member Newsletter - English
DownloadWinter 2021 Member Newsletter - Spanish
DownloadSummer 2021 Member Newsletter - English
DownloadSummer 2021 Member Newsletter - Spanish
DownloadSpring 2021 Member Newsletter - English
DownloadSpring 2021 Member Newsletter - Spanish
Download
Not a SelectHealth member yet?
The SelectHealth coverage areas are: Brooklyn, the Bronx, Manhattan, Queens, Nassau and Westchester counties.
