Documentos de atención médica
![Logotipo de Benefit Services - RGB - aprobado (002)_editado.png](https://static.wixstatic.com/media/70f118_f5a1314782784e3e9fa1c0ded46c8edc~mv2.png/v1/fill/w_59,h_62,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/Logotipo%20de%20Benefit%20Services%20-%20RGB%20-%20aprobado%20(002)_editado.png)
![Imagen de Cytonn Fotografía](https://static.wixstatic.com/media/nsplsh_474a616f335a5458396755~mv2_d_6016_4016_s_4_2.jpg/v1/fill/w_301,h_222,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/Imagen%20de%20Cytonn%20Fotograf%C3%ADa.jpg)
Formularios de atención médica
A continuación se enumeran todos los formularios del plan. Puede descargarlos y completarlos.
Enrollment Forms
Standard Forms
Annual Family Statements
![Keeping accounts](https://static.wixstatic.com/media/11062b_0c187b8e44524b50b62b26691c210d21~mv2.jpg/v1/fill/w_122,h_81,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/11062b_0c187b8e44524b50b62b26691c210d21~mv2.jpg)
Health Plan Documents
Los siguientes documentos pertenecen a todas las partes del plan. Si hay un documento que necesita que no figura en la lista, comuníquese con la Oficina de beneficios.
![Doctor Taking Notes](https://static.wixstatic.com/media/cc33194e92ac493c81a5d60306500ac3.jpg/v1/fill/w_122,h_91,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/cc33194e92ac493c81a5d60306500ac3.jpg)
BlueOptions
![](https://static.wixstatic.com/media/70f118_0ca2c4fcc795422f8ce804971168b0a8~mv2.png/v1/fill/w_59,h_7,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/70f118_0ca2c4fcc795422f8ce804971168b0a8~mv2.png)
A continuación se enumeran los servicios y productos que se ofrecen a través de nuestro proveedor de la red médica, Florida Blue.
![Prescription Drugs](https://static.wixstatic.com/media/e21b7bec30ff45e28e5cbd7b4260993c.jpg/v1/fill/w_98,h_65,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/e21b7bec30ff45e28e5cbd7b4260993c.jpg)
![](https://static.wixstatic.com/media/70f118_1d0ec6be219648a68ece94d8c4755104~mv2.png/v1/fill/w_160,h_160,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/70f118_1d0ec6be219648a68ece94d8c4755104~mv2.png)
Listed below are services and products offered through our pharmacy benefit manager, Sav-Rx.
![MCASF Local 725 Health and Welfare Fund Brouchure FINAL.jpg](https://static.wixstatic.com/media/70f118_1fdba973931d44f78cf72af66d0c55fc~mv2.jpg/v1/fill/w_133,h_133,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/MCASF%20Local%20725%20Health%20and%20Welfare%20Fund%20Brouchure%20FINAL.jpg)
![](https://static.wixstatic.com/media/70f118_0ca2c4fcc795422f8ce804971168b0a8~mv2.png/v1/fill/w_60,h_7,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/70f118_0ca2c4fcc795422f8ce804971168b0a8~mv2.png)
Dental
Listed below are services and products offered through our dental network provider, Florida Combined Life, a Florida Blue company.
![Dental Cleaning](https://static.wixstatic.com/media/11062b_bb953b3d82e94611a73805d6459ee1fc~mv2.jpg/v1/fill/w_70,h_47,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/11062b_bb953b3d82e94611a73805d6459ee1fc~mv2.jpg)
![Ulliance.jpg](https://static.wixstatic.com/media/70f118_8549610acfbe4969ae4d29f16981e835~mv2.jpg/v1/fill/w_75,h_24,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/Ulliance.jpg)
Listed below is information on the Member Assistance Program offered through our provider, Ulliance Life Advisor Member Assistance Program.
![](https://static.wixstatic.com/media/70f118_353b4962cce946cbaa01945b550830c8~mv2.png/v1/fill/w_103,h_103,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/70f118_353b4962cce946cbaa01945b550830c8~mv2.png)
![life-advisor-eap_edited.jpg](https://static.wixstatic.com/media/70f118_5155ecbad53c4959a4a08ee8302666b1~mv2.jpg/v1/fill/w_123,h_17,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/70f118_5155ecbad53c4959a4a08ee8302666b1~mv2.jpg)