Health & Dental Benefits - Health Care Claim Form
published: 07-Feb-2008 PDF (229kb) Health_Expense_Statement.pdf
The Health Care Expense Statement can be used to submit all health care claims (including vision care) to Great West Life for reimbursement. Claims can be submitted directly to Great West Life at the address listed on the form. When submitting claims, it is always a good idea to keep a copy of the receipt for your own records.
updated December 07/12