Request Plan Materials


For the most up-to-date information, you can find a provider, pharmacy and drug online, as well as your Evidence of Coverage booklet:

To have a printed copy mailed to you, please fill out the form below.
All fields are required unless otherwise noted.

Requester's Information

Select the materials you would like mailed to you


Requesting this information does not obligate you, nor does it allow Alignment Health Plan to enroll you into one of our health plans.