Member Materials and Forms
On this page, you can find important documents related to your Senior Whole Health of New York health plan. Click the links below to download each document.
2024 Handbooks and Inserts
MAP Non-emergency Medical Transportation 30 Day Member Insert
MLTC Non-emergency Medical Transportation 30 Day Member Insert
2022 Handbooks and Inserts
Effective May 16, 2022- Change in Initial Assessment Process for New York Independent Assessor
Senior Whole Health of New York Member Handbook (English)
General Information
Notice of Privacy Practices (English)
Notice of Privacy Practices (Spanish)
Disenrollment Rights (English)
Disenrollment Rights (Spanish)
Dental Services Providers
Member Forms
Appointment of Representative Form
Health Care Proxy
Medicare Member Education
2023 Guide for Getting Quality Health Care
2024 Guide for Getting Quality Health Care