Employee Assistance Programs and Administration of Behavioral Health Benefits
Member Benefit Request Form
Easily request membership eligibility and behavioral health benefits online with the Membership Eligibility and Benefit Request Form. When you submit this form, one of our membership service representatives will respond to your request within one (1) business day. You may also call Quest Behavioral Health at 800-364-6352 or 717-851-1480 to verify membership eligibility and benefits.