Use these forms to file a claim or file for reimbursement for your Medicare drugs and services.
Medical claim reimbursement form
Part D drug claim reimbursement form
888.389.6648 (TTY call 711)
8 a.m. - 8 p.m., 7 days a week
You'll have 24/7 access to your claims and prescription history once you register your member account online.