Access your member forms and documents quickly when you need them.
Use these forms when you’re ready to become a D-SNP member.
Coming soon: Highmark Health Options Duals – 2026 Enrollment Form - English
Coming soon: Highmark Health Options Duals – Solicitud de inscripción a Medicare D-SNP 2026 - Espanol
Coming soon: Highmark Health Options Duals Select – 2026 Enrollment Form - English
Coming soon: Highmark Health Options Duals Select – Solicitud de inscripción a Medicare D-SNP 2026 - Espanol
Call us Monday–Friday, 8 a.m.–5 p.m.
Duals Member Services: 1-855-401-8251 (TTY: 711)
Duals Select Member Services: 1-844-722-5837 (TTY 711)
To find an in-network provider, search your Provider Directory.
For language translation services at no cost, call 1-833-957-0020