Member forms and documents

Access your member forms and documents quickly when you need them. 

Highmark Health Options Duals (HMO SNP) Enrollment Forms 

Use these forms when you’re ready to become a D-SNP member.

2026 Highmark Health Options Duals 

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

2026 Highmark Health Options Duals Select 

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

 

Help is available

Check your benefits documents

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