HealthChoice Medicare Supplement Plans
Filing a Claim for Pharmacy Benefits

In most cases, your pharmacy claim will be processed electronically at the pharmacy. If your pharmacy has questions, have your pharmacist contact the Medco Pharmacy Help Line, 24 hours a day, 7 days a week including holidays, at the following numbers:

• Toll-free 1-800-922-1557
• TTY/TDD users call toll-free 1-800-825-1230

In some cases, however, you may need to file a direct paper claim with us. To do so, send your pharmacy receipt and a Coordination of Benefits/Direct Claim Form to:

While you don’t have to use a Coordination of Benefits/Direct Claim Form, it is helpful. You can access a form on this website at  or by calling Medco, 24 hours a day, 7 days a week, at the following numbers:

Members with Part D call toll-free 1-800-590-6828
TDD users call toll-free 1-800-716-3231
Members without Part D call toll-free 1-800-903-8113
TDD users call toll-free 1-800-825-1230

If your claim involves other group health insurance, you also need to include a copy of the Explanation of Benefits statement you received from your other carrier. When your request for payment is received, Medco will let you know if any additional information is needed to process your claim.

• If it is determined that your claim is for covered prescriptions and you followed all Plan guidelines, we will mail you reimbursement for the Plan’s share of the cost.
• If it is determined that your claim is for non-covered prescriptions or you did not follow Plan guidelines, we will send you a letter letting you know our reasons for not sending reimbursement and what your rights are to appeal the decision.