Health Care Claim Form

Health Care Claim Form
Download: Health-Care-Claim-Form-20200703.pdf

The Health Care Claim Form allows members to submit health care related expenses to Great-West Life for the Extended Health Care Plan. This form can be completed online and then printed, signed and mailed to Great-West Life for processing.

Plan Type: Extended Health Care (in-scope),Extended Health Care (out-of-scope)
Document Type: Form
Effective Date: 07-Jul-2020