Csea Prescription Reimbursement Form 2024

Csea Prescription Reimbursement Form 2024 - Claim Year CSEA Employee Benefit Fund 800 323 2732 cseaebf MAIL COMPLETED FORM TO CSEA Employee Benefit Fund PO Box 516 Latham NY 12110 0516 Instructions Complete this claim form and submit with your complete itemized pharmacy printout and or Explanation Of Benefits

Established in 1979 the CSEA EBF is a non profit labor trust fund chaired by CSEA President Mary E Sullivan and managed by a seven member Board of Trustees The EBF provides benefits to all CSEA represented employees in NYS Bargaining units the CSEA represented employees of the Unified Court System and more than 600 local government units

Csea Prescription Reimbursement Form 2024

Csea Prescription Reimbursement Form 2024

For calendar year 2024, CSEA active state members can receive up to a $800 credit or $1,600 credit determined by salary grade and number of days forfeited. ... If you are charged for a test at a participating network pharmacy, submit for reimbursement on Caremark's website at ... Visit myuhc.com to access the reimbursement form, which ...

Submit your completed form along with an itemized pharmacy printout clearly indicating the patient name co pay amount and prescription drug names This claim form should only be used if you are an eligible employee of New York State and in one of the following units CSEA Employee Benefit Fund PO Box 516 Latham NY 12110 0516

CSEA Employee Benefit Fund

Important information about the Prescription Drug Co pay Reimbursement Plan Claim Form must be completed and signed by the CSEA Employee Benefit Fund INCOMPLETE CLAIMS WILL BE RETURNED Mail completed claims to CSEA Employee Benefit Fund P O Box 516 Latham New York 12110 0516 Claim year you are submitting for

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Full Time Employee And Retirees CSEA EBF

Claim Year CSEA Employee Benefit Fund 1 800 323 2732 cseaebf MAIL COMPLETED FORM TO CSEA Employee Benefit Fund PO Box 516 Latham NY 12110 0516 Instructions Complete this claim form and submit with your complete itemized pharmacy printout and or Explanation Of Benefits

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Prescription Drug Co Pay Reimbursement Claim Form Form must be completed and signed by the CSEA Employee Benefit Fund member All required documentation must be attached Incomplete forms will be returned MAIL COMPLETED CLAIMS TO CSEA Employee Benefit Fund PO Box 516 Latham NY 12110 0516 IMPORTANT PLEASE READ

The CSEA Prescription Drug Co-Pay Benefit allows for employees who have spent over $300.00 on prescription drugs in a calendar year to apply for up to $100.00 of co-payments that exceeded $300.00. ... The form and all materials must be received by the CSEA Employee Benefit Fund by March 31 of the following calendar year.

Recent Health Benefits News CSEA AFSCME

CSEA will offer morning and afternoon training on December 27 and 28 2023 beginning at 9am with a lunch break in between 2024 PEP ELECTION FORM A reminder to submit your EBF co pay reimbursement form for physician visit and prescription co pays

Csea Prescription Reimbursement Form 2024

Prescription Drug Co Pay Reimbursement Claim Form Form must be completed and signed by the CSEA Employee Benefit Fund member All required documentation must be attached Incomplete forms will be returned MAIL COMPLETED CLAIMS TO CSEA Employee Benefit Fund PO Box 516 Latham NY 12110 0516 IMPORTANT PLEASE READ

Established in 1979 the CSEA EBF is a non profit labor trust fund chaired by CSEA President Mary E Sullivan and managed by a seven member Board of Trustees The EBF provides benefits to all CSEA represented employees in NYS Bargaining units the CSEA represented employees of the Unified Court System and more than 600 local government units

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