Dependent Deductible Reimbursement

How to Qualify
If a Covered Dependent Child meets more than 50% of the In-Network Deductible during the plan year
Reimbursement Offered
Any amount over 50% paid towards the Covered Dependent Child's In-Network Deductible
How to Apply
Apply within 3-months after the end of the plan year
Complete a Dependent Deductible Reimbursement Form Download
Attach an Explanation of Benefits (EOB)
It must show the total amount of the plan year Deductible met by the Dependent Child
Mail both documents to the Health Plan Administrators Office
What Next
If approved, the reimbursement checks will be mailed directly to the Member