Get Wellness Forms

Filling out the Wellness Forms online is an essential step in accessing your wellness benefits. This guide provides clear, step-by-step instructions to help you successfully complete each section of the form with confidence.

Follow the steps to effectively fill out your Wellness Forms online.

1. Click the ‘Get Form’ button to obtain the Wellness Form and open it in your browser or document editor.
2. Begin by entering the name of the claimant in the designated field. This is the individual seeking the wellness benefit.
3. In the next field, input the name of the insured. This refers to the person who holds the insurance policy.
4. Provide the Social Security Number of the claimant. This information is necessary for identification and processing.
5. Next, enter the Social Security Number of the insured. Ensure accuracy to avoid any processing delays.
6. Gather and upload itemized bills for all covered tests that have been conducted. This documentation is essential for the claim to be processed.
7. Fill in the insured’s current mailing address in the corresponding field. This will ensure that any correspondence related to the claim is delivered correctly.
8. While not mandatory, it is helpful to include the insured's policy number for reference.
9. Review all the entered information for accuracy and completeness. Make any necessary corrections before finalizing the form.
10. Once you are satisfied with the details provided, save the changes, and download or print the form for submission.
11. Submit your completed claim either via email, fax, or mail as instructed, using the appropriate contact details.

Take the next step and complete your Wellness Forms online today!