Members Resources

Find tools, information, and other resources to help you get the most out of your benefits

My Plan Documents

Access important plan information, documents, directories, and forms.

Exceptions and Appeals Help

Appoint a representative, file a grievance or appeal, request a coverage determination, and more.

Out-of-Network Coverage

Understand our network rules before scheduling an appointment with your doctor.

My Member Rights

Understand your member rights and responsibilities.

Change My Plan

Contact us if you wish to change or cancel your membership.

Interoperability API

Simpra Advantage is able to provide access to your healthcare data through a third-party software application or patient portal of your choice.

Frequently Asked Questions (FAQs)

Get answers to some commonly asked questions here.