Dependent Child Deductible Reimbursement

How to Qualify
The OPEH&W Health Plan will reimbursement deductible amounts met inexcess of 50% of the plan year in-network deductible per covered dependent child per plan year

Plan Specific Qualfication & Reimbursement
Qualification and reimbursement amounts vary according to the health plan option the dependent child was enrolled under, as follows:
 》Diamond, qualify on meeting $375 and get reimbursed of amount met from $375 to $750
 》Platinum, qualify on meeting $375 and get reimbursed of amount met from $750 to $1,500
 》Gold, qualify on meeting $1,500 and get reimbursed of amount met from $1,500 to $3,000
 》Silver, qualify on meeting $1,000 and get reimbursed of amount met from $1,000 to $2,000
 》Bronze, qualify on meeting $2,000 and get reimbursed of amount met from $2,000 to $4,000

How to Apply
 》Applications must be made no later than 3-months after the end of the plan year
 》Complete the Dependent Child Deductible Reimbursement Form PDF
 》Attach an Explanation of Benefits (EOB) from BlueCross
 》Ensure it shows the total amount of deductbile the dependent child met during the plan year
 》Mail the Dependent Child Accident Reimbursement Form and the EOB to:
   OPEH&W Health Plan
   3851 E Tuxedo Blvd, Suite C
   Bartlesville OK 74006
 》Reimbursement checks are mailed directly to the Member