Instructions When Completing Easy Choice Heath Plan Claim Form
- Complete Sections 1-13 to the best of your ability
- Complete new form for each member of the family that you are submitting medical expenses
- New forms must be used on subsequent submissions
- Photo-copy or faxes are not acceptable
- Mail claims to address listed on upper right corner of HCFA 1500 form
- Adherence to these guidelines will enable us to process your claims in at timely manner.
In addition, there are a variety of riders available to you and your employees which offer a number of prescription drug benefits, including mail order, vision benefits, student coverage and enhanced benefits for mental health/substance abuse and skilled nursing facilities.