Old-hands-on-keyboard

Member Materials and Forms

On this page, you can find important documents related to your Senior Whole Health of New York health plan. Click the links below to download each document.    

2022 Handbooks and Inserts

Effective May 16, 2022- Change in Initial Assessment Process for New York Independent Assessor

Senior Whole Health of New York Member Handbook (English)

General Information

Notice of Privacy Practices (English)
Notice of Privacy Practices (Spanish) 
Disenrollment Rights (English)
Disenrollment Rights (Spanish)
Dental Services Providers 

Member Forms

Appointment of Representative Form
Health Care Proxy