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  • University Of California Berkeley Prescription Drug Reimbursement Form

Get University Of California Berkeley Prescription Drug Reimbursement Form

Your Anthem Blue Cross ID # is U + your student ID (SID) # (example: U12345678). 2. Drop off your prescription receipts, including the medication label with the name of the medication(s) and price, with this form in the Student Health Insurance Office (SHIO; Rm. 3200, Tang Center), or in the drop box located in the first floor lobby of the Tang Center. You may also 1) fax them to 510-642-9119, 2) scan and email them to ship@uhs.berkeley.edu, or 3) mail them to: UHS Student Health Insurance Offic.

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How to fill out the University of California Berkeley Prescription Drug Reimbursement Form online

Filling out the University of California Berkeley Prescription Drug Reimbursement Form is essential for students seeking reimbursement for prescriptions obtained outside the Tang Center. This guide provides step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete the form effectively

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your name in the designated field to clearly identify your submission.
  3. Input your student ID number into the appropriate field, ensuring accuracy for proper identification.
  4. Fill in your Anthem Blue Cross Member ID number, which consists of the letter 'XDP' followed by an underscore and your unique identifier.
  5. Indicate your group number, which is '275670' and must be included for processing.
  6. Select the plan type by circling one of the options: M001 for graduate students, M002 for undergraduate students, or M003 for Filing Fee/Withdrawal/Concurrent Enrollment students.
  7. Provide your date of birth in the specified format (mm/dd/yyyy) to ensure proper record-keeping.
  8. Select your gender by marking the appropriate option, which is indicated as either ( ) M for male or ( ) F for female.
  9. After completing all required fields, make sure to review the form for any errors or omissions before proceeding.
  10. Save your changes, download a copy of the form, and print it for your records.
  11. To submit your reimbursement request, include your prescription receipts and the medication label, then choose one of the submission methods: drop off at the Student Health Insurance Office, fax, scan and email, or mail it to the provided address.

Complete your documents online today for a smooth reimbursement process.

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Shipsurance provides coverage for shipping-related damages or losses, assisting you in recovering costs if something goes wrong during shipment. This type of insurance is beneficial for businesses and individuals looking to safeguard their deliveries. Remember, however, that while managing your healthcare needs at Berkeley, utilizing health resources like the University of California Berkeley Prescription Drug Reimbursement Form can ensure you secure necessary funds for prescription expenses effectively.

Shipping insurance particularly covers the loss or damage of products during transit, ensuring peace of mind when sending valuable items. Although not directly related to healthcare, having insurance on shipments protects your possessions. If you are focusing on managing your health, remember that health insurance, like that from SHIP, operates differently. When regarding healthcare costs, consider the University of California Berkeley Prescription Drug Reimbursement Form for claims related to your health needs.

SHIP insurance covers a variety of health services designed to protect students while studying at Berkeley. This includes preventive care, emergency services, and mental health support. Utilizing the University of California Berkeley Prescription Drug Reimbursement Form can streamline how you submit for prescription costs under this coverage. This reassurance helps students focus on their studies rather than health-related financial burdens.

The SHIP program offers a comprehensive range of services to support your health needs. It covers most medical expenses, including doctor visits, hospital stays, and prescription drugs. Students can greatly benefit from knowing the specifics of coverage when using the University of California Berkeley Prescription Drug Reimbursement Form for claiming prescription costs. Understanding these details empowers students to manage their health effectively.

UHC, or UnitedHealthcare, is a health insurance provider that offers various plans to individuals and families. While UHC is not specific to UC Berkeley, some students may have personal plans through them. Understanding how UHC integrates with your medical needs is important, especially when submitting claims via the University of California Berkeley Prescription Drug Reimbursement Form.

Yes, the Berkeley SHIP includes dental coverage for students. This benefit ensures that students have access to preventive and essential dental care. If you have incurred dental expenses, you can also use the University of California Berkeley Prescription Drug Reimbursement Form to claim reimbursement for any covered dental prescriptions needed.

UC Berkeley's health insurance offerings include the University of California Student Health Insurance Plan (UC SHIP), which provides comprehensive coverage for students. This plan includes medical, dental, and vision benefits to support the health needs of the student body. Utilizing the University of California Berkeley Prescription Drug Reimbursement Form allows students to seek reimbursements for prescription expenses associated with this insurance.

UC SHIP is a comprehensive health insurance plan catering to students at the University of California campuses, including UC Berkeley. It covers a range of medical services, including hospital visits, preventive care, and prescription drugs. By using the University of California Berkeley Prescription Drug Reimbursement Form, students can easily claim costs associated with their medications through UC SHIP.

UC Berkeley provides health insurance through the University of California Student Health Insurance Plan (UC SHIP). This insurance plan is specifically tailored for students at UC Berkeley, ensuring they have access to comprehensive healthcare services. If you’re a student using the University of California Berkeley Prescription Drug Reimbursement Form, knowing your insurance details is essential for effective reimbursement.

Berkeley SHIP is a type of health insurance aimed at providing students with essential healthcare coverage while they study. It covers a wide array of medical services, ensuring students have access to necessary resources. This type of insurance is designed to be affordable and accessible, particularly for full-time students. Explore the benefits provided in the University of California Berkeley Prescription Drug Reimbursement Form to understand how it can support your health.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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