Why request payment reimbursement?
Sometimes when you get medical care or a prescription drug, you may need to pay the full cost. Other times, you may find that you have paid more than you expected under the coverage rules of the plan. In these cases, you can ask the plan to pay you back. (reimburse you). It is your right to be paid back by the plan whenever you've paid more than your share of the cost for medical services or drugs that are covered by the plan.
When to request reimbursement
If you need to request reimbursement, please be aware there may be deadlines. The plan cannot pay you back if you don’t submit your request in time. There may be deadlines that you must meet to get paid back. You can find additional information in your plans’
How to request reimbursement
Please use the Reimbursement Request Form or send your signed reimbursement request in writing. Your reimbursement request must include supporting documentation such as proof of payment, an itemized bill listing the item or service received, and the physician order or medical records if applicable.
To make sure you are giving us all the information we need to make a decision; you may download, print, and complete a copy of the Reimbursement Request Form below.
If you don’t want to use the form, send us a cover letter with all the needed documentation listed above.
Where to send your reimbursement request
Mail your reimbursement request and any supporting documents to us at:
CarePlus Health Plans
Attention: Member Services Department
PO Box 14165,
Lexington, KY 40512-4165
