800 468 5744 healthplan@opehw1.com Mon - Fri: 8am - 5pm
The OPEH&W Health Plan will reimburse up to $500 each plan year for out-of-pocket costs incurred for a covered dependent child for covered services received at an emergency room, urgent care facility or minor emergency center for an accidental injury. | ||
How to Apply | ||
Request must be submitted by the member | ||
Request must be made no later than 3-months after the end of the plan year | ||
Complete the Dependent Child Accident Reimbursement Form | ||
Accident Reimbursement Form | ||
Attach an Explanation of Benefits (EOB) from BlueCross & BlueShield | ||
Ensure it shows the accident claim the dependent child had during the plan year | ||
Mail the completed Dependent Child Accident Reimbursement Form and the EOB to: |
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OPEH&W Health Plan 3851 E Tuxedo Blvd, Suite C Bartlesville OK 74006 |
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Reimbursement checks are mailed directly to the Member |