Retiree - Manual Claim Filing
Under some circumstances it may be necessary to manually file a prescription claim. For example if you are out of town and cannot locate your Express-Scripts ID card, it may be necessary to pay for the prescription and manually file for reimbursement once you return.
Please note claims must be filed within twelve (12) months of receiving a prescription. Request a claim form from UK Employee Benefits Customer Service (1-800-999-2183 or 859-257-9555), and select option 3. Click here to download the form for Non-Medicare eligible retirees. Click here to download the form for Medicare eligible retirees. Complete the claim form as indicated and follow the instructions below.
Attach a prescription receipt or label with the claim form which includes:
- Patient’s name/address
- Pharmacy name/address
- Date filled
- Drug name, strength and NDC number
- Quantity
- Days supply
- Price
Also note patient history printouts from the pharmacy are also acceptable but MUST be signed by the pharmacist. Cash register receipts are NOT acceptable for any prescriptions.