Independent Health Summary of benefits and coverage shows what the plan covers and what you pay for covered services.
Traditional Plan - ICSD Summary of Benefits & Coverage
Complete when necessary and submit by mail with all itemized bills:
Independent Health General Claim Form
Iroquois Traditional Plan Description. Effective July 1, 2018:
ICSD Plan Document and Summary Plan Description
When you can’t reach your primary care physician, Independent Health’s telemedicine benefit provided through Teladoc® allows you to talk with a doctor anytime, anywhere by phone, mobile app or online 24 hours a day, 7 days a week.
Independent Health Teladoc 24/7 Help Line
Information on Flexible Spending Account using Tax Free Dollars
Flexible Spending Information Sheet 2020--2021
The P&A Group - Flex 125 Plan
Cares Act - Updates for Flexible Spending Accounts
Guidelines and Form to claim yearly reimbursement for on-going physical fitness programs.
Wellness Activity Reimbursement Form
The Annual Physical Reward program pays you and your eligible dependents for getting an annual physical exam from a primary care physician.
Physical Exam Reimbursement Form
Welcome to Pharmacy Benefit Dimensions
Pharmacy Benefit Dimensions (PBD) Mail Order Program
This authorization form is required to share your health information with your spouse, relatives, employer, etc.
Authorization to Disclose Protected Health Information (PHI)
Premium assistance under Medicaid and the Children's Health Insurance Program (CHIP)
Employer CHIP Notice