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Member Resources

Quick links to tools and resources for members.

Woman Smiling

Welcome to the member resource center.

We've put many of the most frequently used resources all on one page. Log in to allwaysmember.org to access all your online tools.

You can read your member rights and responsibilities here.
  • Health & wellness tools

    Health Library A-Z

    Search conditions, treatments, health information, and more in our Interactive Health Library.


    Drug interaction checker

    Check interactions between medications.


    Health care glossary

    Look up common health care words in the United States Department of Labor's Uniform Glossary of Health Coverage and
    Medical Terms
    .


    Nurse Advice Line

    Call the customer service number on the back of your member ID card to contact a Registered Nurse 24/7 to get nursing advice on any subject. There’s no limit on calls or emails. Contact them as often as you need. Nurses speak English and Spanish, and translation services are available for other language. Your call, your health records, and what you discuss with the nurse are all private.

  • Member forms

    Prescription Drug Reimbursement Form

    Use the Prescription Drug Reimbursement Form to file an eligible prescription drug claim reimbursement. See form for instructions.
    Prescription Drug Reimbursement Form (PDF)


    Member Record Request Form

    Use this form to request your member record from AllWays Health Partners.
    Member Record Request Form (PDF)
     

    Member Reimbursement Claim Form

    Use the Member Reimbursement Claim form to file an eligible medical or behavioral health claim reimbursement. See form for details and instructions.
    Member Reimbursement Claim Form (PDF)
     

    Bike Helmet Reimbursement Form

    When you buy safety helmets for toddlers, children, and adults, AllWays Health Partners will reimburse 50% of the purchase price of one new helmet, per member, per calendar year up to a $15.00 reimbursement.
    Bike Helmet Reimbursement Form (PDF)
     

    Childbirth Education Reimbursement Form

    Childbirth education classes, plus parenting and infant CPR classes, are available to you and your partner or support person free of charge at many primary care sites and hospitals.

    Speak to the provider caring for you during your pregnancy or the facility where you plan to deliver about enrolling. If they do not offer a childbirth education program, AllWays Health Partners will reimburse you for the cost of these classes up to $130 per pregnancy. You can combine multiple classes up to the $130 limit per pregnancy. A Childbirth Education Form must be submitted to obtain the reimbursement.
    Childbirth Education Reimbursement Form (PDF)
     

    Breastfeeding Support Form

    Breastfeeding support classes are also available free of charge at many primary care sites and hospitals. These classes are a support group for pregnant women, and they provide information about the benefits of breastfeeding, along with helpful tips, resources, and ways to manage common breastfeeding challenges.

    Speak to the provider caring for you during your pregnancy or the facility where you plan to deliver about enrolling. If they do not offer a breastfeeding support program, AllWays Health Partners will reimburse you for the full cost of these classes. A Breastfeeding Support Form must be submitted to obtain the reimbursement.
    Breastfeeding Support Form (PDF)
     

    Personal Representative Designation Form

    You have the right to choose one or more persons to act on your behalf with respect to the protected health information that pertains to you. If you would like to exercise this right, please complete and return this form to us.
    English (PDF)
    Spanish (PDF)
     

    Continuity of Care at Cancer and Pediatric Facilities Notification Form

    Members newly enrolled through a small employer group who began an active course of treatment for a serious illness prior to enrolling in an Easy Tier Hospital Network plan may be eligible to continue treatment at the lowest member cost-sharing tier (Tier 1). Click here to determine if you are eligible.

    If eligible, the Continuity of Care at Cancer and Pediatric Facilities Notification Form (PDF) must be submitted prior to the start of treatment in the tiered network plan.


    Weight Loss Reimbursement Form

    The fastest way to submit a reimbursement request for your weight loss benefit is on the member portal, allwaysmember.org. You can also download the form below and follow the instructions to submit your reimbursement request. The weight loss benefit varies by plan. Please check allwaysmember.org for details about your plan.
    Weight Loss Program Benefit Form and Instructions (PDF)
     

    Fitness Benefit Reimbursement Form

    The fastest way to submit a reimbursement request for your fitness benefit is on the member portal, allwaysmember.org. You can also download the form below and follow the instructions to submit your reimbursement request. The fitness benefit varies by plan. Please check allwaysmember.org for details about your plan.
    Fitness Benefit Coverage Form and Instructions (PDF)


    Qualifying health clubs include:

    • Abington Athletic Club
    • Anytime Fitness
    • Beverly Athletic Club
    • Boost Fitness
    • Boston Athletic Club
    • Boston Sports Club
    • Cambridge Athletic Club
    • Choice Fitness
    • Club eX Fitness & Nutrition
    • Crossfit
    • Curves
    • Equinox
    • Get in Shape for Women
    • Gold’s
    • GymIt
    • Healthtrax Fitness & Wellness
    • Healthworks Fitness
    • KoKo Fitclub
    • LA Fitness 
    • Latitude Sports Club
    • Mike’s Fitness
    • Planet Fitness
    • Pro-Fitness Plus
    • Quincy Athletic Club 
    • Salem Fitness Center
    • The Clubs at Charles River Park
    • Today’s Fitness
    • Weymouth Club
    • Women’s Fitness of Boston
    • Work Out World
    • World Gym Worcester
    • YMCA

    Please note: Aerobic and exercise studios (Pilates, yoga, Zumba, Jazzercise, etc..) are also included in this benefit
  • Service approval guidelines
    Need to know if a service or treatment requires a prior authorization or referral? Check the Service Approval Guidelines (PDF).
     
  • Medical policies
    The AllWays Health Partners medical policies, or clinical coverage criteria, help us evaluate the safety and effectiveness of a service or technology to determine if it should be covered.

    You can browse the medical policies to see the coverage criteria for a specific condition. However, the medical policies will not tell you whether a service or technology is covered under your plan.

    For more information about our medical policies or about your plan, please call the Customer Service number on the back of your member ID card or email customerservice@allwayhealth.org.

    You can also log in to allwaysmember.org to find personalized information about your covered benefits.
    View medical policies.
     
  • Member rights and reference information
    Here’s a list of information that can help you understand your rights and get the most from your plan. Visit allwaysmember.org for details about the information described below.
     

    Member Rights and responsibilities

    Your basic rights and responsibilities as an AllWays Health Partners member.
     

    Benefit coverage and obtaining care

    How to use your benefits and what’s covered.
     

    Notice of privacy practices and confidentiality

    Our policy for protecting your health information.
     

    Post-mastectomy benefits

    What you’re entitled to if you have a mastectomy.
     

    Appeal and grievance process

    How to appeal a denial or submit a formal complaint.
     

    Preventive care guidelines for children

    When your child should have preventive care and what’s covered.
     

    Preventive care guidelines for adults

    When you should have preventive care and what’s covered.
     

    Changes to pharmacy benefits

    Any updates to your pharmacy benefits are listed here monthly.
     

    Incentives statement

    AllWays Health Partners does not specifically reward providers or any organization reviewing our coverage decisions.


    Utilization management

    How to learn more about coverage requests, approvals, and denials.
     

    Advance Directives/Health Care Proxy

    How to choose a representative to speak for you in case you can’t make your own medical decisions.
    Call the Customer Service number on the back of your AllWays Health Partners member ID card with any questions about these materials.
  • For members transitioning to AllWays Health Partners

    We designed our online transition center to answer common questions we hear from new members. There, you can also find and fill out a Transition of Care Form if you need access to ongoing care during your switch to AllWays Health Partners.

Find out if you're getting the most from your plan

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Our Spring/Summer 2019 newsletter is here

In this issue, we talked with two of our Recovery Coaches about how they help members fighting addiction. You’ll also learn some of the ways your AllWays Health Partners plan can help you save money and be well.
 

Everything you need to learn about and manage your plan

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Log in to your secure member portal, allwaysmember.org, to view plan documents, check your perks, search doctors, and more.

 

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