How to file a claim

 

 

To file a claim, simply submit a completed and signed Claim Form. Itemized verification for each expense must be attached. Detailed instructions are contained on the back side of the Claim Form. You can submit claims via e-mail, fax, or regular mail.  For more information, read Guidelines for Submitting Claims.

 

You may request reimbursement of qualified healthcare expenses and/or insurance premiums you have incurred on behalf of yourself, your spouse, and your eligible dependents. Qualified expenses and premiums submitted for reimbursement must have been incurred after you became a participant eligible to file claims.

 

Please note the following:

 

 

#1. Insurance premiums paid by an employer, or premiums that are or could be deducted pre-tax through your or your spouse’s section 125 cafeteria plan, are not eligible for reimbursement.  If you request reimbursement of after-tax premiums deducted from your (or your spouse's) paycheck, you should include a letter from the employer which confirms that a pre-tax option for the payment of such premiums is not available.


#2. If you or your spouse have a section 125 healthcare flexible spending account (FSA), you must exhaust the FSA benefits before submitting claims. 


#3. Claims for over-the-counter (OTC) medicines and drugs should be for reasonable quantities expected to be consumed within a reasonable period of time. Sales tax can be included. NOTE: Per federal healthcare reform laws, OTC medicines and drugs purchased on or after January 1, 2011 must be prescribed by a medical professional or accompanied by a note from a medical practitioner recommending the item or service to treat a specific medical condition. OTC items purchased on or before December 31, 2010 are not subject to this requirement.



For ongoing insurance premiums, request systematic reimbursement by submitting a Systematic Premium Reimbursement Form. Or, skip the form and do it online. Login to myVEBA Plan online and click Systematic premium reimbursement.

 

Want to see your claims in progress and claims history? Login to myVEBA Plan online.