The Decision Assistant can help you know when to submit a claim through your medical or dental benefits or a spending account.
Your plan might not have coverage for all the items on the list. Check your plan details to be sure.
You can get through to a customer service representative or take advantage of our self-service interactive voice response (IVR) capabilities by calling 1-800-268-6195 . Representatives are available Monday to Friday, from 8:00AM to 8:00PM EST.
We need your email address to:
We need your address and phone number to contact you:
We need your email address to:
We need your address and phone number to contact you:
This will establish Direct Deposit for any Health, Dental or Health Care Spending Account (HCSA).
All payments will be made to the single bank account you have entered
If you are receiving disability benefits and would like to receive the payments via Direct Deposit, you must contact your Plan administrator to make the necessary Direct Deposit payment arrangements.
This list represents a typical plan. Your plan may not include all of this coverage. Check your plan details to be sure.
Type of claims that can be submitted online:
You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.
On the next screen, please select the provider from whom you received your eye exam/vision training. Once you have added all expenses from this provider, please submit your claim.
From the confirmation page, please select "Submit another vision claim" to create an additional claim for your glasses or contact lenses.
You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.
On the next screen, please select the provider from whom you received your eye exam/vision training. Once you have added all expenses from this provider, please submit your claim.
From the confirmation page, please select "Submit another vision claim" to create an additional claim for your eye surgery.
You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.
On the next screen, please select the provider from whom you received your glasses or contact lenses. Once you have added all expenses from this provider, please submit your claim.
From the confirmation page, please select "Submit another vision claim" to create an additional claim for your eye surgery.
You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.
On the next screen, please select the provider from whom you received your eye exam/vision training. Once you have added all expenses from this provider, please submit your claim.
From the confirmation page, please select "Submit another vision claim" to create an additional claims for your glasses or contact lenses and eye surgery.
Please use "Other" category only if you are claiming:
Or adding a document for a previous claim:
If you have another group plan or government plan that pays first, you may be able to submit the same claim to your plan. That way, you could get back 100% of your costs.
If you have more than one plan, you can submit the same claim to all of them. For example, if your spouse's plan pays 80% of a claim, your plan may pay the rest. That way, you could get back 100% of your costs.
If the child has coverage under one or more plans, you can submit the same claim to all of them. That way, you could get back 100% of your costs.
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