Documents and forms
- Dependent out of area coverage form
- HMO Certificate of Coverage
- PPO Certificate of Coverage
- Member benefit guide
- 3-tier Formulary
- Prescription drug benefit request form
- Medical benefit drug request form
- Stay healthy form
- How to find a PPO provider for children out of area
Compare care in your backyard
MercyCare's local customer service and sales staff are here where you work and live, to provide the answers to your health care questions. Call 800.895.2421 today.
Health, wellness and preventive care
MercyCare has received local and national recognition for their efforts in improving individual health outcomes through disease management strategies. Certified in disease and case management, they help members improve chronic conditions to achieve greater independence.