HealthChoice Tobacco-Free Attestation

Welcome to the HealthChoice Tobacco-Free Attestation and Verification of Other Insurance Coverage process.

The Tobacco-Free Attestation process ensures that you and your covered dependents will be enrolled or remain enrolled in the HealthChoice High or Basic plan for the 2021 plan year. This attestation is to be completed only by the primary member.

Your required annual verification of other health and/or dental insurance coverage will aid in coordinating your HealthChoice benefits, and help prevent claims from being denied.

If you need to locate your completed attestation, please re-enter your information below and select Continue.

To begin, enter the primary member's information. All fields are required.