Medical expenses
If you have coverage through your employer
Submit your claims online
GroupNet makes it quick and easy to submit your claims online or print forms that are pre-filled with your personal information. You can also sign up for direct deposit, view coverage information and much more.
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Register - Opens in a new windowDownloadable forms
Use these forms to claim expenses relating to medical services and equipment. Each form is slightly different depending on your plan, so please read all the descriptions carefully before choosing your form.
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Use this form to make a claim or get an estimate for expenses such as prescriptions, vision care, paramedical services or medical equipment.
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If your plan includes a healthcare spending account, use this form to make a healthcare claim or get an estimate for healthcare expenses.
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If you have a Health SolutionsPlus Visa card, use this form to make a healthcare claim.
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Use this form to claim expenses relating to medical or vision treatment and prescription drugs. You'll need itemized receipts for some sections.
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Use this form to claim health care, vision or dental expenses if you're covered under a medical reimbursement plan.
- Medical Reimbursement Plan (MRP/Cost-Plus) expense statement (Group Authorized) M6735(GA) PDF 109 kb
Use this form to authorize a claim for health care, vision or dental expenses if you're a group contract holder.
Not the forms you're looking for? Go back to the find a form page.