forms icon

Forms and Policies

These are our forms and policies.
Click the Download buttons below to see each form and policy.

Forms and Policies

HIPAA
The Ohio State University Health Plan Notice of Privacy Practice
Medical Policies
Tobacco Cessation Program Policy
Appeals
Treating Physician Certification – Internal/External Appeal
Appeals
Treating Physician Certification – Experimental/Investigational
General
Virtual Health
Claims
Weight Loss and Healthy Lifestyle Program Reimbursement Form