Check Eligibility

We recommend that you check member eligibility every time a member presents for services. Changes in health status, such as pregnancy or certain medical conditions, may also cause changes in plan eligibility.

Important Tools & Resources
Provider PortalMember ID Card

You can easily verify member eligibility by accessing the Provider Portal or through an eligible Electronic Data Interchange (EDI) clearinghouse.

The member ID card is used to identify a member; it does not guarantee eligibility or benefits coverage.