Get Reimbursement Form For Weight Watchers Through The ... - Anthem

Completing the Reimbursement Form for Weight Watchers through the Commonwealth of Virginia - Anthem can be straightforward when you understand each component of the form. This guide will walk you through each section step-by-step to ensure that you successfully submit your reimbursement request.

Follow the steps to effectively complete your reimbursement form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Indicate your Weight Watchers offering by selecting one of the options: At Work Meeting, Monthly Pass, Online Subscription, or At Home Kit. If you select At Work Meeting or At Home Kit, ensure to attach the corresponding receipt.
3. For the At Work Meeting option, provide details such as your purchase confirmation for the series including the start date, end date, and total paid amount. Ensure this section is certified by the Weight Watchers Leader or Receptionist.
4. If you chose the Online Subscription, you will need to fill in the total amount paid and the date range of your subscription. Remember to obtain your Account History from Weight Watchers and include it with your submission.
5. For the At Home Kit option, simply fill in the total amount paid and attach the receipt for reimbursement.
6. Proceed to the Employee Verification section on page 2. Print clearly when filling out your name, employee ID, home address, email address, phone number, state agency name, agency code, and agency location.
7. After completing all necessary fields and attaching required receipts, review your form to make sure all information is accurate and properly documented.
8. Mail the completed form and receipts to the provided address: Commonwealth of Virginia/Weight Watchers Reimbursement, Anthem Blue Cross and Blue Shield, P.O. Box 27401, Mail Drop: VA1003-S143, Richmond, VA 23279.

Complete your reimbursement form online today to ensure you receive your Weight Watchers reimbursement!