With a reputation of innovation, NetCare is committed to establishing a relationship with its customers, physicians, hospitals and group clients as trusted partners. NetCare is dedicated to helping its members achieve and maintain healthy lifestyles in every way. We invite you to Experience the NetCare difference.

Member

Summary of Benefit Coverage GU Prime GU Advantage HMO Smartchoice 2500 GU Advantage POS Smartchoice 1500 CNMI Preferred CNMI Standard CNMI Prime CNMI Limited CNMI Limited 80/20

SBC Uniform Glossary

Forms - Affidavits, Enrollment Application, Change of Status, Reimbursement

Claims Reimbursement - How to File a Claim or Request for Reimbursement

Request for a New ID Card - Member ID cards for enrolled employees and dependents

Appeals & Grievance Procedure - Plan limitations and info on filing the appeals or grievances

Prescription Drugs - Covered drugs and tier, prior authorization, quantity limits.

Provider Directory - Listing of participating providers.       - Advantage Plan Provider Directory       - PPO Plans Provider Directory

Provider

Forms - On-Island Precertification, Off-Island Precertification, PCP Referral Authorization

Need Claims Status - Claims Overview and Status

Provider Manual - Participating Provider Manual

Provider Application - Provider Application Form

Employer

Forms - Affidavits, Enrollment Application, Change of Status

Group Administrative Handbook - NetCare Group Administrator Manual

Health & Wellness - NetCare's Healthy Steps to Wellness

Frequently Asked Questions

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Health Care Reform FAQs