Get Uhchealthaccounts

Completing the Uhchealthaccounts form is essential for the effective management of your Retiree Medical Savings Account. This guide will provide you with clear, step-by-step instructions to ensure an accurate and efficient submission.

Follow the steps to complete your Uhchealthaccounts form

1. Click ‘Get Form’ button to access the Uhchealthaccounts form and open it in your document management tool.
2. Gather your Retiree ID number, which is your Prudential Active Employee ID number. If you are uncertain, please contact the Prudential Benefits Center at 1-800-PRU-EASY (1-800-778-3279) during business hours.
3. Collect all premium receipts and evidence of payment for each eligible expense. Ensure receipts show the amount paid, coverage period, and covered individuals.
4. Carefully fill out the form, ensuring to print legibly. List premium expenses separately for yourself and your dependents, categorize them by type, and specify the amount of premium paid and the amount you wish to be reimbursed.
5. Review the Certification for Reimbursement statement, then sign and date the form to verify the accuracy of the information provided.
6. Attach all receipts and necessary documentation, using original copies on white paper. If needed, tape small receipts to a standard 8-1/2” x 11” sheet.
7. Submit the completed form along with receipts and documentation by mailing or faxing it to the UnitedHealthcare Service Center using the address or fax number provided at the beginning of this guide.
8. Keep a copy of the claim form and attached receipts with your important documents for future reference.

Start filling out your Uhchealthaccounts form online today to ensure timely reimbursement.