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TherapyAdult Prior Authorization Form/ Prescription Date: Date Medication Required: Ship to: Physician Patients Home Other Phone: (855) 3045580 Fax: (855) 5211728 Patient Information.

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Ambetter Value Plans are available in select counties in Florida and are in Bronze, Silver, and Gold plan metal levels. Ambetter Value plan options are offered in the following areas: Broward. Clay.

If you do not get your Ambetter Member ID card before your coverage begins, please call Member Services at 1-877-687-1169 (Relay FL 1-800-955-8770).

You will need to obtain a referral prior to the specialist visit. It's easy to confirm referrals made by your PCP through the Ambetter Virtual Access Member app. If you do not have a referral from your PCP, your specialist visit will not be covered. The claim will be denied, and it won't be paid.

Ambetter from Sunshine Health is Centene Corporation's Health Insurance Marketplace product. Ambetter exists to improve the health of its beneficiaries through focused, compassionate and coordinated care.

If you don't have your account yet, setting it up is quick and easy –get started now! You can also reach us from 8am-8pm EST at 1-877-687-1169 (Relay Florida 1-800-955-8770).

You can also reach us from 8am-8pm EST at 1-833-510-4727 (Relay 711).

About Sunshine Health Sunshine Health offers government-sponsored managed care through Medicaid, Long Term Care, Ambetter (Marketplace) and Allwell (Medicare). Additionally, we offer a specialty Medicaid health plan for children in or adopted from Florida's Child Welfare system and a full pay Healthy Kids plan.

If you don't see your question, contact Ambetter Member Services at 1-877-687-1169 (Relay Florida 1-800-955-8770).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232