Documents de soins de santé
![Benefit Services Logo - RGB - approved (002)_edited.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/Benefit%20Services%20Logo%20-%20RGB%20-%20approved%20(002)_edited.png)
![Image by Cytonn Photography](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/Image%20by%20Cytonn%20Photography.jpg)
Formulaires de soins de santé
Vous trouverez ci-dessous tous les formulaires du plan. Vous pouvez les télécharger et les remplir.
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
Les documents suivants concernent toutes les parties du plan. Si vous avez besoin d'un document qui ne figure pas dans la liste, veuillez contacter le bureau des prestations.
Résumé précédent des garanties et documents de couverture
![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)
Vous trouverez ci-dessous les services et produits proposés par notre fournisseur de réseau médical, 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)