Member Materials

The list below includes links to a variety of materials that members receive for VNSNY CHOICE SelectHealth. Just select the materials you want, and you will be able to view or download them. You may also obtain a printed copy of any CHOICE Member Materials by calling 1-866-469-7774, Monday – Friday, 8 am – 6 pm. TTY users should call 711.

Member Handbook (EnglishSpanish)

Policy Updates and Inserts 

Provider and Pharmacy Directory

SelectHealth Provider and Pharmacy Directory Notice
(How to get up-to-date information on a Provider and Pharmacy)

Understanding Types of Doctors (EnglishSpanish)

Formulary (List of Covered Drugs)

Prior Authorization Request Form

VNSNY CHOICE SelectHealth Brochure (English, Spanish)

Authorization for Release of Health Information and Confidential HIV Related Information (English and Spanish
Privacy Forms
Notice of Privacy Practices (English, Spanish, Chinese, Korean, Russian

RHIO Consent
Check below for forms and fact sheets about Health Information Exchanges and Regional Health Information Organizations.

  • Authorization for Access to Patient/Member Information Through a Health Information Exchange Organization (EnglishSpanish)
  • Health Information Exchange Fact Sheet (EnglishSpanish)
Important Member Notices

VNSNY CHOICE SelectHealth Member Newsletters

Summer 2018 (English, Spanish)
Spring 2018 (English, Spanish
Summer 2017 (EnglishSpanish)
Spring 2017 (EnglishSpanish)

Last updated 11/1/2018

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