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  • Regence Member Reimbursement Form

Get Regence Member Reimbursement Form

Regence BlueCross BlueShield of Utah, Regence ValueCare and Regence HealthWise are Independent Licensees of the Blue Cross and Blue Shield Association DIRECT MEMBER REIMBURSEMENT FORM DIRECTIONS:.

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A health insurance deductible is the amount you pay before your insurance kicks in. For example, if you have a $1000 deductible, and you need a $1000 MRI procedure and a $2000 surgery, you will pay $1000 out-of-pocket for the MRI, and then $0 for the surgery.

Submitting claims to RGA Mail: Regence Group Administrators, P.O. Box 52890, Bellevue, WA 98015-2890. The claim should include the prefix and the subscriber number listed on the member's ID card. Do not submit RGA claims to Regence.

Grievances must be filed within 60 days of the event or incident. You may send a complaint to us in writing or by calling Customer Service.

Your deductible is the amount you pay toward your health care costs each year before Regence starts sharing the costs. (Some services, such as preventive care, are covered before you meet your deductible.) Another graph shows your progress toward meeting your out-of-pocket maximum.

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. After you pay your deductible, you usually pay only a. copayment.

Example of health insurance deductible Let's pretend that you have a health insurance plan with a $700 deductible. One day, you require a medical procedure that costs $7,000, which is covered in your plan. Your health insurance provider will help pay for these costs, but only after you've met your $700 deductible.

Let's say you purchase a health plan with a $3,000 deductible and 20% coinsurance. You receive two procedures during the year you have the plan, one that costs $1,000 and another that costs $2,500. You would have to pay the full $1,000 for the first procedure plus $2,000 toward the second procedure.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232