|
Anthem Claim Forms
Medical Claim Form
(PDF format)
Prescription
Drug Claim Form
(PDF format)
Vision Claim Form - Out-of-Network Only
(PDF format)
Anthem Prescription Mail Order Forms
Please go to www.anthem.com
and log into your member account. Click on the My Pharmacy Tab. Instructions for
ordering prescriptions from Express Scripts can be found there.
Delta Dental Claim Form
(PDF format)
Employee Assistance Plan
(www.anthemeap.com)
Flexible Spending Account
MyFlex On-Line
(www.myflexonline.com)
Educational Tools (www.mytakecareplan.com)
Covered Expenses
Health Care
(PDF Format)
Over-the-Counter Drugs
(PDF Format)Health Reimbursement Account
Claim Form
(PDF Format)
MyFlex On-Line (www.myflexonline.com)
On-Line Instructions
MyFlex On-line Registration
Instructions (FSA-HRA)
(PDF format)
Filing
Flex Claims On-Line (FSA)
(PDF format)
Ordering Flex Debit Card (FSA)
(PDF format)
Reviewing Debit Card
Payments (FSA)
(PDF format)
Web Site Links
Health and Vision
Anthem (Members)
Registration Page
Log-In
Prescription Services
Tiered Prescription Drug Listing
Blue View Vision Self-Service
Provider Directory
Health Answers
Anthem Special Offers
Dental
Delta Dental (Members)
Registration Page
Log-In
Dentist Directory (DeltaDentalPremiere) | 
