Αποτελέσματα Αναζήτησης
Please use a separate claim form for each health care professional, and for each member of your family. You can get a new blank form by going to www.staff.nalchbp.org and clicking "Claim Forms" which is located under "Forms" in the "Member Resources" tabs. You can also call Customer Service at 888-636-NALC (6252).
- Claim Forms
Member Medical Claim Form - Complete this claim form to...
- Claim Forms
Member Medical Claim Form - Complete this claim form to submit your covered medical expenses to the Plan. If you currently have Medicare coverage or are submitting a foreign claim, please mail a completed claim form to the following address: NALC Health Benefit Plan. 20547 Waverly Court.
How to File a Claim. In most cases, providers and facilities file claims for you. Submit services on the CMS1500 or a claim form that includes the information shown below: If another group health plan is primary, send a copy of their explanation of benefits.
Mail Completed form to: NALC Health Benefit Plan CIGNA Payer 62308 PO Box 188004 Chattanooga, TN 37422-8004 888-636-NALC (6252) or 703-729-4677. BECAUSE THIS FORM IS USED BY VARIOUS GOVERNMENT AND PRIVATE HEALTH PROGRAMS, SEE SEPARATE INSTRUCTIONS ISSUED BY APPLICABLE PROGRAMS.
Since 1950, the NALC Health Benefit Plan (HBP) has provided letter carriers and their families with first-rate health insurance. The NALC’s health plan is a natural choice—as the only health plan owned and operated by letter carriers, it pays particular attention to their health needs.
Claim Forms. Form 41. Complete this questionnaire in full when you or a covered family member have: coverage under any other health plan. automobile insurance that pays health care expenses without regard to fault. Medicare coverage. a workplace-related illness or injury. Member Claim Form.
Access the member portal to manage claims and verify eligibility status for NALC Health Benefit Plan members.
