Find Your Plan Documents

Search by your plan year and state to access relevant plan documents. You can also find documents in your Antidote Member Portal.

Access Member Portal

Search Documents

Clear
Clear
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Evidence of Coverage
2025
Arizona
Decorative icon
Evidence of Coverage
2025
Ohio
Decorative icon
Evidence of Coverage
2026
Arizona
Decorative icon
Evidence of Coverage
2026
Ohio
Decorative icon
Evidence of Coverage Hearing Aid Amendment
2025
Ohio
Decorative icon
Evidence of Coverage Hearing Aid Amendment
2026
Ohio
Decorative icon
Evidence of Coverage for Plans Through Your Employer
2026
Arizona
Decorative icon
Member Rights and Responsibilities
2025
Arizona
Decorative icon
2025 Prior Authorization Guidelines
2025
Arizona
Decorative icon
Arizona Appeals Process Information Packet
2026
Arizona
Decorative icon
Change in OT, PT, Chiropractic Care Coverage
2025
Ohio
Decorative icon
Change in OT, PT, Chiropractic Care Coverage
2026
Ohio
Decorative icon
Arizona Appeals Process Information Packet
2025
Arizona
Decorative icon
Arizona Appeals Process Information Packet for Plans Through Your Employer
2026
Arizona
Decorative icon
Member Rights and Responsibilities
2025
Ohio
Decorative icon
Member Rights and Responsibilities
2026
Ohio
Decorative icon
2025 Prior Authorization Guidelines
2025
Ohio
Decorative icon
24/7 Virtual Care Rider for Complete Plans
2025
Arizona
Decorative icon
24/7 Virtual Care Rider for Complete Plans
2026
Ohio
Decorative icon
Member Rights and Responsibilities
2026
Arizona
Decorative icon
24/7 Virtual Care Rider for Complete Plans
2025
Ohio
Decorative icon
24/7 Virtual Care Rider for Complete Plans
2026
Arizona
Decorative icon
24/7 Virtual Care Rider for Elite Plans
2025
Arizona
Decorative icon
24/7 Virtual Care Rider for Elite Plans
2026
Ohio
Decorative icon
24/7 Virtual Care Rider for Complete Plans Through Your Employer
2025
Arizona
Decorative icon
24/7 Virtual Care Rider for Elite Plans
2025
Ohio
Decorative icon
24/7 Virtual Care Rider for Elite Plans
2026
Arizona
Decorative icon
Dental Rider
2026
Ohio
Decorative icon
24/7 Virtual Care Rider for Complete Plans Through Your Employer
2026
Arizona
Decorative icon
24/7 Virtual Care Rider for Elite Plans Through Your Employer
2025
Arizona
Decorative icon
Dental Rider
2025
Ohio
Decorative icon
Women's Health Cancer Rights Act
2026
Ohio
Decorative icon
24/7 Virtual Care Rider for Elite Plans Through Your Employer
2026
Arizona
Decorative icon
Adult Dental Benefit Coverage Summary
2025
Ohio
Decorative icon
Dental Rider
2025
Arizona
Decorative icon
Ohio Guaranty Notice
2026
Ohio
Decorative icon
Costco Prescription Mail Order Service
2026
Ohio
Decorative icon
Dental Rider
2026
Arizona
Decorative icon
Dental Rider for Plans Through Your Employer
2025
Arizona
Decorative icon
Pediatric Dental Coverage Summary
2025
Ohio
Decorative icon

Questions or
Need Help?

Our Member Services team is ready to assist you daily, 8 AM to 8 PM ET.

Call Us:

888-623-3195

Live Chat:

Available through the Member Portal

Email Support:

support@antidotehealth.com

Looking for answers?

FAQs

Antidote Health logoAntidote Health footer text
Health Plan member Resources
Other Resources
Legal
Language
Download on the App Store badgeGoogle Play Store badge saying 'Get it on Google Play'.
ISO 27001 certified, HIPAA compliant, and LegitScript badges

HMO health plans are offered and insured by Antidote Health Plan of Arizona, Inc. and Antidote Health Plan of Ohio, Inc. Please note: Antidote’s one-time and monthly telehealth subscription products are not a substitute for comprehensive health insurance. If you are seeking health insurance coverage, it must be purchased separately—either through Antidote in eligible states or from another licensed insurance provider. © 2026 Antidote Health Group, Inc. All rights reserved.