MEMBER RESOURCES
make the most of your plan



At J.P. Farley, we’re humanizing the health plan experience for our members. That means providing you with the tools and support you need to use your benefits to your best advantage, every day. From finding the best price for a prescription to locating an in-network doctor near you, we’re making sure you have everything you need to achieve the best care at the best cost for you and your family.

Helping You Find What You Need

Look up your nearest provider with your network’s provider search tools, locate the pharmacies nearest you and find the member forms you need all in one convenient location.

notepad

Helping You Get Better Care, For Less

Before you receive care, take some time to shop around. Our cost comparison tools will help you find the best providers and prescriptions at the best prices. If you’re new to your J.P. Farley benefits, don’t hesitate to familiarize yourself with our suite of member tools so that you’ll be even more prepared when it comes time for care.

Helping You Shop Smarter

Where to Go for Care

telemedicine


  • Non-urgent health concerns
  • After-hours care
  • Examples include:
    • skin issues/rashes
    • earaches
    • fever
    • cold/flu symptoms
    • sore throat

physician office


  • Scheduled care
  • Traditional office hours
  • Non-Urgent, routine, follow-up and/or preventative care

retail clinic


  • Unscheduled care which requires attention and cannot wait for an appointment with your physician
  • Extended and/or retail hours
  • Examples include:
    • skin issues/rashes
    • earaches
    • fever
    • cold/flu symptoms
    • sore throat

urgent care


  • Unscheduled care which requires prompt attention and can’t wait for an appointment with your doctor
  • Extended and /or non-traditional hours
  • Examples include:
    • sprain
    • infections
    • skin issues/rashes
    • earaches
    • fever
    • flu

emergency room


  • Unscheduled care requiring immediate attention
  • Conditions that, if left untreated, may be life threatening
  • Examples include:
    • 911 EMERGENCY
    • chest pain
    • major injuries
    • coughing up blood trouble breathing
    • sudden change in mental status, alertness, confusion
    • sudden change in mental status, alertness, confusion
    • poisoning
    • suicidal/homicidal thoughts

How to Get the Best Price for Prescriptions

research


Some pharmacies are less expensive! Always research your options prior to purchase to locate the best price and location for your budget.

Choose Generic


Choose generic versions when possible to save money! These typically cost much less at retail pharmacies.

Shop Retail


Retail pharmacies are often your best option for one-time or 30-day medication supplies.

Look for Discounts


For maintenance (long-term and daily) medications, ask your physician for 90-day prescriptions. There are often discounts for higher-volume orders.

Mail Order


If you must order a brand-name drug, these can usually be found at a discount through mail order options.

Learn More about Your Employer-Sponsored Benefits

Navigating healthcare can be confusing, but it doesn’t have to be. We’re committed to delivering health plan help like you’ve never experienced before. If you still have questions, check out our resources below.

Educational Downloads

Member Resource Forms

  • Accident Detail & Subrogation Form
  • Coordination of Benefits Form
  • Dental Claim Form
  • Disability Form
  • Flexible Spending Account Reimbursement Form
  • Health History Statement Questionnaire
  • HIPAA Designation of Authorized Representative Request Form
  • Medical Claim Form
  • Primary Care Physician Request Form
  • Uniform Glossary
  • Vision Claim Form
  • Website Registration & Overview
  • Wellness and/or Alternative Benefit Reimbursement Form(s)

Accident Detail & Subrogation Form

Supply additional information in regards to a claim for a possible accident or injury.

download pdf

Coordination of Benefits Form

Provide J.P. Farley with information regarding other health insurance or plan coverage you or your dependents may have.

download pdf

Dental Claim Form

Your dental provider will usually submit claims on your behalf directly to J.P. Farley. Use this form if you need to submit a dental claim to your health plan yourself.

download pdf

Disability Form

Use this form to provide J.P. Farley with information regarding your short-term or long-term disability claim. There are three parts to this form, including a section for the employee to complete, a portion for the employer and a section for the employee’s physician, all which must be completed in full to ensure timely processing of your disability claim.

download pdf

Flexible Spending Account Reimbursement Form

Submit a claim for FSA reimbursement. Dependent care or other flexible spending account eligible expenses. Learn more about Flexible Savings Accounts.

download pdf

Health History Statement Questionnaire

Employees may be asked to complete this form by their employer as part of the process of becoming covered by the health plan. The form MUST be printed, signed and returned to J.P. Farley as directed by the employer plan sponsor. Note: The form has fields that can be typed in, but employees must use the “save as” feature if they wish.

download pdf

HIPAA Designation of Authorized Representative Request Form

You have the right to request to have someone else to act on your behalf when resolving claims or customer service issues or when seeking benefit information from their plan. This form should be used to authorize an individual to act on your behalf until you notify the J.P. Farley Corporation to revoke the request. An example would be designating a power of attorney. Learn more about Managing Your HIPAA Protected Information.

download pdf

Medical Claim Form

Providers usually submit claims on your behalf directly to J.P. Farley. You may use this form if you need to submit a medical claim to your health plan yourself.

download pdf

Primary Care Physician Request Form

This form should be completed to declare a Primary Care Physician for you and all of your dependents. The information will be held confidential and will be used only to verify the selection of your Primary Care Physician.

download pdf

Uniform Glossary

This glossary of terms is published by the Department of Labor (DOL) as outlined by recent health care reform laws. It is required to be the same for every health plan, regardless of the plan administrator, insurer, etc. As noted on the document, this glossary has many commonly used terms, but isn’t a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. Some of these terms also might not have exactly the same meaning when used in your policy or plan, and in any such case, the policy or plan governs.

download pdf

Vision Claim Form

Use this form if you need to submit a vision claim to J.P. Farley.

download pdf

Wellness and/or Alternative Benefit Reimbursement Form(s)

If your employer offers a wellness or alternative medical treatment reimbursement arrangement you will find your custom benefit form is available within the website portal (after website registration) or in some cases from your employer.

Website Registration & Overview

Instructions and website overview for members over the age of 18 who wish to access the web portal and/or app to access real-time claims, eligibility, plan information and more!

download pdf
  • Accident Detail & Subrogation Form
  • Supply additional information in regards to a claim for a possible accident or injury.

    download pdf
  • Coordination of Benefits Form
  • Provide J.P. Farley with information regarding other health insurance or plan coverage you or your dependents may have.

    download pdf
  • Dental Claim Form
  • Your dental provider will usually submit claims on your behalf directly to J.P. Farley. Use this form if you need to submit a dental claim to your health plan yourself.

    download pdf
  • Disability Form
  • Use this form to provide J.P. Farley with information regarding your short-term or long-term disability claim. There are three parts to this form, including a section for the employee to complete, a portion for the employer and a section for the employee’s physician, all which must be completed in full to ensure timely processing of your disability claim.

    download pdf
  • Flexible Spending Account Reimbursement Form
  • Submit a claim for FSA reimbursement. Dependent care or other flexible spending account eligible expenses. Learn more about Flexible Savings Accounts.

    download pdf
  • Health History Statement Questionnaire
  • Employees may be asked to complete this form by their employer as part of the process of becoming covered by the health plan. The form MUST be printed, signed and returned to J.P. Farley as directed by the employer plan sponsor. Note: The form has fields that can be typed in, but employees must use the “save as” feature if they wish.

    download pdf
  • HIPAA Designation of Authorized Representative Request Form
  • You have the right to request to have someone else to act on your behalf when resolving claims or customer service issues or when seeking benefit information from their plan. This form should be used to authorize an individual to act on your behalf until you notify the J.P. Farley Corporation to revoke the request. An example would be designating a power of attorney. Learn more about Managing Your HIPAA Protected Information.

    download pdf
  • Medical Claim Form
  • Providers usually submit claims on your behalf directly to J.P. Farley. You may use this form if you need to submit a medical claim to your health plan yourself.

    download pdf
  • Primary Care Physician Request Form
  • This form should be completed to declare a Primary Care Physician for you and all of your dependents. The information will be held confidential and will be used only to verify the selection of your Primary Care Physician.

    download pdf
  • Uniform Glossary
  • This glossary of terms is published by the Department of Labor (DOL) as outlined by recent health care reform laws. It is required to be the same for every health plan, regardless of the plan administrator, insurer, etc. As noted on the document, this glossary has many commonly used terms, but isn’t a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. Some of these terms also might not have exactly the same meaning when used in your policy or plan, and in any such case, the policy or plan governs.

    download pdf
  • Vision Claim Form
  • Use this form if you need to submit a vision claim to J.P. Farley.

    download pdf
  • Wellness and/or Alternative Benefit Reimbursement Form(s)
  • If your employer offers a wellness or alternative medical treatment reimbursement arrangement you will find your custom benefit form is available within the website portal (after website registration) or in some cases from your employer.

  • Website Registration & Overview
  • Website Registration & Overview

    Instructions and website overview for members over the age of 18 who wish to access the web portal and/or app to access real-time claims, eligibility, plan information and more!

    download pdf

Need help? J.P. Farley Member Advocates are ready to assist you.