Forms CHC Provider Nomination Form Consent for Release of PHI Information Form Medical Claim Form FSA / HRA Claim Form Health Expense Diary ESI Prescription Drug Claim Form Reference FSA / PCA or (HRA) Sample Healthcare Expenses Radiologists/Diagnostic Imaging Why Weight Kentucky Spending Account Secondary Payer Pharmacy Network Listing HumanaAccessSM Visa Debit Card - Quick Reference Guide Brainshark Presentation for the Secondary Payer HumanaAccess Card It's almost time to decide Your Healthplan Tools and Resources Smart "shopping for healthcare" tips Emergency Room (ER) or Urgent Care? Member and Retiree Letters Pre-enrollment letter to KEHP members Pre-enrollment letter to KEHP retirees