Forms and Resources

Learn more about Medicare and find additional resources here.

Authorization to Share Personal Information and Power of Attorney Submission Form

Your Health Information Is Protected – In your time of need, would you like UHC to share that info with someone? Fill out this form, return it to UHC, and rest assure that there’s always someone there to help!

Authorization to Share Personal Information and Power of Attorney Submission Form (Online)

Get to Know Your UnitedHealthcare® Medicare Advantage ID card

Get to Know Your UnitedHealthcare® Medicare Advantage ID card

Direct Member Reimbursement Form

Direct member reimbursement form

How do I file an appeal or grievance?

Get a detailed overview of the Appeals and Grievance process.

Medical appeals and grievances 

Drug coverage appeals and grievances

How do I report fraud or abuse?

Find out how to identify fraud and abuse and learn steps you can take to prevent and report it.

Report fraud and abuse