Advance Care Planning
for health care proxies, living wills and more
Medical Claim Form
- Use to submit medical services from a provider, hospital, DME vendor, etc. Also use for vision services including eyewear (see exception below **). Do not use to submit prescription drug services. All prescription drug services should be submitted on the prescription drug claim form.
Dental Claim Form
Flexible Spending Account or Medical Reimbursement Account Forms
This link will take you to the EBS-RMSCO Website.
Prescription Drug Claim Form
Vision Claim Form
- **For members with Vision Care II policies only. All others, use medical claim form above.