Forms and Documents
Seaside Health Plan members have access to a variety of services, some of which require additional documentation. Please see below for links to forms and documents you may need.
Continuity of Care
If your current healthcare provider is leaving the Seaside Health Plan network, you may be eligible for continuity of care if you have certain qualifying conditions. If you are a new member within Seaside Health Plan and are currently receiving active treatment from a provider who is not within the network, you may also qualify for Continuity of Care. Please refer to the Continuity of Care Program policies and if you qualify, please submit an application.
- Advance Directives Form
- GRIEVANCE FORM
- Independent Medical Review Form
- Mail Order Prescription Drug Form
- Member Claim Form
- Pharmacy Claim Form
- Pharmacy Compound Claim Form