In most cases, health care providers and pharmacies will file your insurance claims for you, and you will pay only your copay out of pocket. However, providers who are not part of the State Health Plan network will ask for full payment directly from you. In those cases, if the services are normally covered by the State Health Plan, you can request that your expenses be reimbursed.
Use the appropriate form below to request reimbursement from the State Health Plan.
PPO Plan Medical Claim Form
PPO Worldwide International Claim Form
Prescription Drug Claim Form
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