Get Great West Life Form

Completing the Great West Life Form online is a straightforward process that allows you to request coverage for certain prescription drugs requiring prior authorization. This guide provides detailed steps to help you navigate each section of the form effectively.

Follow the steps to complete your Great West Life Form online.

1. Press the ‘Get Form’ button to acquire the Great West Life Form and open it in your preferred editor.
2. Carefully read through the form instructions and the information sheet attached to understand the requirements for prior authorization.
3. In Part 1, fill in your personal details, including your name, date of birth, and contact information. Ensure that all fields are accurately completed as this information is crucial for processing your claim.
4. In Part 2, answer the questions regarding any previous coverage or assistance related to the prescribed drug. If applicable, provide details about previous plans and ensure documentation is attached.
5. Ensure your physician completes Part 3 of the Request for Information form. They should provide detailed medical information, including diagnosis, past treatments, and rationale for prescribing the drug.
6. Review all sections of the form to confirm that all required fields are filled out correctly and that there are no errors.
7. Submit the completed form by mailing it to the address provided or by faxing it. Ensure you keep a copy of the submitted form for your records.
8. After submission, you may wish to save any modifications, download, print, or share the form as needed.

Start filling out the Great West Life Form online today to ensure timely processing of your prescription drug coverage.