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Member Request for Access to Protected Health Information You have the right to request access to your Protected Health Information (PHI) maintained by Magellan Health, Inc. (Magellan) in our designated
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To fill out Magellan Complete Care, follow these steps:
02
Obtain the application form from the Magellan Complete Care website or contact their customer service for a physical copy.
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Fill in your personal information, including your name, address, and contact details.
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Provide your insurance information, if applicable.
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Indicate your healthcare provider preferences and any specific requirements you may have.
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Answer all the medical history questions accurately and thoroughly.
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Sign and date the application form.
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Submit the completed form via mail, email, or online submission, following the instructions provided by Magellan Complete Care.

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Magellan Complete Care is designed for individuals who require comprehensive healthcare coverage. This includes:
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- Individuals with chronic health conditions or complex medical needs
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- Individuals who qualify for Medicaid or Medicare
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If you fall into any of these categories, Magellan Complete Care may be suitable for you.
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Magellan Complete Care is a health plan that provides comprehensive healthcare services.
Individuals who are enrolled in the Magellan Complete Care plan are required to file.
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The purpose of Magellan Complete Care is to ensure that individuals have access to quality healthcare services.
Information such as medical history, current medications, and healthcare provider information must be reported on Magellan Complete Care.
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