Medicare Advantage Plans

How to Appoint a Representative

An authorized representative is the person you designate to assist or handle affairs related to your health care services. This may be someone you designate as a Power of Attorney, a family member, friend, caregiver, or an advocate you assign to assist with an exception, appeal or grievance.

 

How to become an authorized representative for your friend or family member

To become an authorized representative, you'll need to download and print the Appointment of Representative Form. Both you and the person you wish to represent will need to sign the form.

 

How to choose someone to help manage your health plan

Choose someone you trust such as a spouse, family member, caregiver or friend to access or help you manage your health plan. You can use the Authorization to Share Personal Information Form (PDF)(443.5 KB) to give others access to your account.

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