Here's how to join and get started on a plan for a healthier you!
Member Enrollment Form (PDF)
and return it in one of four ways:
- Fax to 501-378-6693
- Scan and email to
- Mail to:
Arkansas Blue Cross and Blue Shield
Enterprise Medical Management (4 South)
601 South Gaines Street
Little Rock, AR 72201
- You also can call your nearest
office location and ask for a Registered Nurse case manager to discuss the program
and receive assistance in enrolling in the On The Level Youth Diabetes Program.
We hope you will join the On The Level Youth Diabetes Program. Together, we can help
you take better care of your child’s health.
Health information and education from community and national resources follow the
guidelines set forth by the American Diabetes Association.
Questions? Call the toll-free HEP Helpline at 1-800-686-2609.
Please note: The On The Level Youth Diabetes Program is for health education
purposes only. We do not offer medical advice or medical services. Always consult
your treating physician(s) for any medical advice or services you may need. You,
as a member, are responsible for selecting providers, services or products. Please
check your member benefits for coverage of services. All information furnished by
you is kept strictly confidential and only used to provide us with information necessary
for participation in the On The Level Youth Diabetes Program.