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Plan Materials

VNSNY CHOICE MLTC Member Materials & Forms

The list below includes links to a variety of materials for VNSNY CHOICE MLTC members. You can get a printed copy of any Member Material by calling 1-888-867-6555 (TTY: 711), 9 am – 5 pm, Monday – Friday.

Plan Information

Member Handbook Insert: Important Change for Arranging and Using Your Transportation Benefit (Provided by LogistiCare)

Provider Information

Online Provider Search Tool

Find an up-to-date list of in-network providers in your community. Search results are printable.

Provider Directory (PDF)

If you need a directory in a printable format see the PDF’s below.

Forms and Personal Health Materials

Authorization for Release of Health Information Pursuant to HIPAA

Authorization Access to Patient/Member Info

Health Care Proxy

Member Rights and Responsibilities Booklet

Includes information on Member Bill of Rights and Responsibilities, Patient Self-Determination Policies, Making Decisions About Your Medical Care Planning in Advance For Your Medical Treatment

Notice of Privacy Practices

Notice of Non-Discrimination Practices

Member Newsletters

VNSNY CHOICE MLTC Member Newsletters

See current and past issues of Member Newsletter for health tips and checklists, recipes, and more.