Do not include any confidential information, such as Social Security Numbers. No claims or requests will be entertained unless submitted in writing. Send your completed claim form and documentation to: OTC Reimbursement Claims Program.
Aetna Insurance Company
PO Box 740
Richmond, KY 40837
Please mail to United States Dept. of Veterans Affairs
Overseas Patient Payment Program
P.O.
Get the free OTC (Over-the-Counter) Reimbursement Claim Form
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OTC (Over-the-Counter) Reimbursement Claim Form Send completed form and documentation to: Aetna PO Box 4000 Richmond, KY 40476-4000 Fax to: 1-888-238-3539 (1-888-AET-FLEX) 1-800-938-0512 Preparing
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What is otc over-form-counter reimbursement claim?
An OTC (Over-the-Counter) reimbursement claim is a request for reimbursement for eligible expenses related to purchasing over-the-counter medications or healthcare products.
Who is required to file otc over-form-counter reimbursement claim?
Individuals who have purchased eligible over-the-counter medications or healthcare products and wish to be reimbursed for those expenses.
How to fill out otc over-form-counter reimbursement claim?
To fill out an OTC reimbursement claim, you typically need to provide information such as your name, address, proof of purchase, itemized list of eligible expenses, and any required supporting documentation. Specific instructions may vary depending on the reimbursing organization.
What is the purpose of otc over-form-counter reimbursement claim?
The purpose of an OTC reimbursement claim is to seek reimbursement for eligible expenses incurred by purchasing over-the-counter medications or healthcare products, thereby reducing out-of-pocket costs for individuals.
What information must be reported on otc over-form-counter reimbursement claim?
Information that may need to be reported on an OTC reimbursement claim includes the individual's name, address, proof of purchase, itemized list of eligible expenses, and any required supporting documentation.
When is the deadline to file otc over-form-counter reimbursement claim in 2023?
The deadline to file an OTC reimbursement claim in 2023 may vary depending on the organization or healthcare plan. It is advisable to consult the specific guidelines or policies of your reimbursing organization or plan.
What is the penalty for the late filing of otc over-form-counter reimbursement claim?
The penalty for the late filing of an OTC reimbursement claim may also vary depending on the organization or healthcare plan. It is recommended to review the guidelines or policies of your reimbursing organization or plan to understand any potential penalties.
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