CHRISTUS Health Plan Generations Plus Member Reimbursement Form 2026

1. Click ‘Get Form’ to open the CHRISTUS Health Plan Generations Plus Member Reimbursement Form in our platform.
2. Begin by entering your Member Name and Member ID in the designated fields at the top of the form. This information is crucial for processing your reimbursement.
3. Select the appropriate Quarter for your submission from the provided options. Ensure that you are submitting within the deadlines specified for each quarter.
4. In the 'Date of Purchase' field, input the date when you bought the qualified over-the-counter drugs. Make sure this aligns with your receipts.
5. Next, list each drug purchased in the 'Drug' field along with its corresponding cost in the 'Cost ($)' section. Remember, there is a limit of $100 per quarter.
6. If you have more items to report, utilize additional sheets as necessary and ensure all receipts are collected before finalizing your submission.
7. Once completed, print and mail your original receipts along with this form to the address provided on the document.

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