Eligibility

– Qualifying for Coverage
– Adding Dependents
– Open Enrollment

Benefits and Claims

– Medical – Network
– Medical – Non-Network
– Prescription Drugs
– Dental
– Vision
– Infertility
– Paid Parental Leave
– Palliative Care
– Preventive Care
– UCLA/EIMG Health Clinics

Coverage Types and Plans

– Types of Coverage
– Coverage Plans

Medicare & Retiree Health

– Important Information for Those Who are Medicare-Eligible

Estimate Care Costs

– Request a Predetermination to Estimate Coverage
– CVS Caremark Check Drug Cost Tool
– Machine-Readable Files
– Surprise Billing Notice

Pay Your Premium

– By Phone
– Online
– By Automatic Pension Deduction
– By Check

Find a Network Provider

– Medical Providers – U.S.
– Medical Providers – non U.S.
– Network Pharmacies
– Dental Providers
– Vision Providers

Filing a Claim

– Medical Claims – Network
– Medical Claims – Non-Network
– Prescription Drug Claims
– Dental Claims
– Vision Claims
– All Non U.S. Claims

Resources for Non-Covered DGA Members

– Health Services and Resources for Non-Covered DGA Members

Home » The Health Plan » Filing a Claim

FILING A CLAIM

Information about how to file a claim can be found under the “Claims Information” tab on each benefit type’s webpage (Health >Benefits & Claims >then choose a benefit type >Claims Information) or by clicking the buttons below.

Network Medical Claim

Non-Network Medical Claim

Prescription Drug Claim

Network Medical Claim

Non-Network Medical Claim

Prescription Drug Claim