Forms

Looking for a doctor?

We have tens of thousands of excellent primary and specialty doctors in our network. Staying in network always saves you money, and our 5 Star Centers offer great care at the lowest cost to you.

Find A Doctor

Find A 5 Star Center

Make an appointment at UHC

In-network hospitals

There are hundreds of preferred hospitals in our network where you always pay a lower copay.

Non-preferred hospitals are in network but may send you a bill for more than your copay. If you get a bill, call Health Services at 866.230.3225.

Find A Preferred Hospital

Non-preferred Hospitals List

All NewYork-Presbyterian facilities and their doctors are out of network.

See FAQ

What about emergency care?

In an emergency, you can go to any hospital ER and pay the same low copay.

Need help? Member Services is here for you!

Call Member Services at 800.551.3225, Monday-Friday, 8:30am-8pm, and Saturday, 9am-5pm.

You can also chat with them live through the 32BJ Member Portal or visit their Welcome Center at 25 West 18th Street, 5th Floor, in Manhattan

Health Forms

To authorize the release of your personal health information (PHI), download and complete this form.

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Authorization to Release Health Information

To add an eligible dependent to your health plan (your spouse or a dependent child not older than 26), download and complete this form.

Form

Enroll a Dependent in Your Health Plan

If you receive out-of-network care, download and complete the correct form to file a claim.

For out-of-network medical or hospital care you received BEFORE January 1, 2026.

For out-of-network medical or hospital care you received ON OR AFTER January 1, 2026.

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Anthem
Out-of-network Claim

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WebTPA
Out-of-network Claim

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OptumRx
Out-of-network Claim

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Delta Dental
Out-of-network Claim

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Davis Vision
Out-of-network Claim

Life Insurance Beneficiary Form

When you choose a beneficiary of your life insurance policy in the event of your passing, the money quickly goes to the person(s) you want it to. If you don't choose a beneficiary, the money could get tied up in a lengthy probate process and go to someone you don’t want.

If you wish to choose, add, or change your beneficiary(ies), please download and complete this form.

Form

MetLife: Choose, Add, or Change Your Life Insurance Beneficiary

Looking for a doctor?

Make an appointment at UHC

In-network hospitals

All NewYork-Presbyterian facilities and their doctors are out of network.

What about emergency care?

Need help? Member Services is here for you!

Health Forms

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Life Insurance Beneficiary Form

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Contact Information