Sunshine Health Members

We’re committed to making your healthcare experience seamless, accessible, and stress-free.
This page is your one-stop destination for all the forms and resources you need to manage your health with ease.

Mileage Reimbursement Guidelines

This form provides the guidelines for eligibility and submission for mileage reimbursement.

Mileage Reimbursement Trip Log

This form captures detailed trip information required for mileage reimbursement processing.

Mileage Reimbursement Voucher

This form captures the necessary details to complete a mileage reimbursement request.

Alivi Parental Waiver

This form captures the required consent and waiver details from a legal guardian.

Mass Transit (Public Transportation) Exclusion Form

This form is intended for members seeking transportation services who are unable to use mass transit/public transportation due to medical or other qualifying conditions. It must be completed by a physician and returned to Alivi.

Medical Necessity Form

This form is to document specific medical reasons required for transportation.

Alivi Ride Member App User Guide

This guide helps users set up their accounts, log in, and create a trip with ease.

Phones

Please return forms to:

Fax 855-621-8962 or memberservices@alivi.com

Download AliviRide

Download the AliviRide app to conveniently schedule, change, or cancel your trips. Monitor your rides in real time, request a return trip, or see how many trips are left in your benefit, all from a single app!

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