The purpose of the Health Risk Assessment (HRA) is to evaluate your overall health, lifestyle behaviors, and specific health needs. It helps to identify risks, support care coordination, and develop personalized care plans that improve health outcomes.
- Your information is private. The answers do not change your or your child's benefits.

- If you need help filling out this form, please call Member Services at 1-866-357-4082 TTY/TDD 711 Monday to Friday from 8:00am to 5:00pm.