: : :FACCC : : :
 

FACCC Helpline:
(800) 334-6554 Ext: 6164

Apply Here

MEMBER Collateral

SureHealth Plus Plan Member Handbook

RX Guide Book (Prescription Formulary)

 

Select appropriate Claim Form below

CHCA Insurance Benefits

CHCA Accidental Death & Dismemberment

CHCA Disability

Select appropriate Form below
  1. Change Authorization Form
  2. Application Form
 
Apply Here

SureHealth Plans are available in the following states:
AL, AR, AZ, CA, CO, DC, FL, GA, HI, ID, IL, IN, IA, KY, LA, ME, MA, MI, MS,
MO, NC, NE, NH, NM, NV, OH, OK, PA, RI, SC, TN, TX, VA, WV, WI.



Terms and Conditions vary by state.