Your browser is unsupported

We recommend using the latest version of IE11, Edge, Chrome, Firefox or Safari.


Mail all Medical or Pharmacy Claims to:

PO Box 8030
Westchester, IL 60154


Inquire about Claim Status
312.996.4915 Option 2

For Pharmacy Claims please include:
* The original receipt
* The prescription information sheet
* A cover letter requesting reimbursement

COVID 19 Booster Heading link

If a COVID-19 booster is not available In-Network and your provider refers you to an  Out-of-Network provider, you will need to pay for your services upfront and submit the following information to our claims department for 100% reimbursement. Please contact your PCP at Family Medicine prior to seeking out-of-network services.

* The original receipt, itemized to show the vaccine charge
* A cover letter requesting reimbursement which includes your Name and UIN
*Pharmacy identification sheet (If received at a pharmacy)
*Invoice or claim that identifies the services (If received at an Urgent Care or Clinic)

Please note that Out-of-Network claims may take up to 30 days to mail out your check