{"id":9843,"date":"2020-05-26T09:00:39","date_gmt":"2020-05-26T13:00:39","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=9843"},"modified":"2026-03-02T15:39:32","modified_gmt":"2026-03-02T20:39:32","slug":"insurance-reimbursement-singlecare","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/insurance-reimbursement-singlecare\/","title":{"rendered":"Will my insurance reimburse me for SingleCare?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">When you use SingleCare to save on your prescriptions, you\u2019re opting for substantial savings instead of using your insurance. The choice is considered an out-of-pocket or cash purchase by your insurance company. However, there\u2019s a silver lining: You may be eligible for reimbursement by your insurance company if you\u2019re willing to do a little paperwork.<\/span><\/p>\n<h2 id=\"why-use-singlecare\"><span style=\"font-weight: 400;\">Why use SingleCare<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Using a SingleCare coupon can help you afford medication if you encounter any of the following situations:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You have a high deductible insurance plan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your insurance doesn\u2019t cover a specific medication<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Your insurance <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/healthcare-defined-copay\/\"><span style=\"font-weight: 400;\">copay<\/span><\/a><span style=\"font-weight: 400;\"> is higher than the SingleCare coupon cost<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It\u2019s important to note that this process differs from \u201csplit billing,\u201d which involves using two different insurance plans. SingleCare is not an insurance provider; it is a savings tool.<\/span><\/p>\n<h3 id=\"why-is-singlecare-cheaper-than-my-insurance\"><span style=\"font-weight: 400;\">Why is SingleCare cheaper than my insurance?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">SingleCare\u2019s prices can be lower than your copay because we negotiate discounted cash prices directly with pharmacies, which can sometimes beat the fixed copay set by your insurance plan. Insurance copays are determined by your plan\u2019s formulary tiers and cost-sharing structure, not the pharmacy\u2019s lowest available price. If your medication falls into a higher tier, is subject to a deductible, or is not covered at all, your out-of-pocket cost through insurance may be higher than a SingleCare discount price.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The tradeoff is this: When you purchase medication outside of your insurance plan (also known as \u201cself-pay\u201d or \u201ccash-pay\u201d, the expense doesn\u2019t automatically count toward your insurance <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/healthcare-defined-deductible\/\"><span style=\"font-weight: 400;\">deductible<\/span><\/a><span style=\"font-weight: 400;\">. Meaning, even if you save using a SingleCare coupon, you won\u2019t be inching closer to your costs being more fully covered by your insurance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, there may be ways to enjoy the benefits of SingleCare while still making progress toward your deductible. Though it\u2019s not guaranteed. Most major insurance companies have a prescription reimbursement request process. In other words, you can ask to be paid back when you pay for medication. Depending on your plan, the insurance company may either reimburse you or apply the cost to your deductible, or both.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/insurance-deductible-met\/\"><b>5 health services to do after you\u2019ve met your deductible<\/b><\/a><\/p>\n<h2 id=\"when-are-you-eligible-for-reimbursement\"><span style=\"font-weight: 400;\">When are you eligible for reimbursement?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Whether you can receive reimbursement from your insurance company depends on your specific policy. Generally, you might be reimbursed if you:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Used a non-participating or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/healthcare-defined-out-of-network\/\"><span style=\"font-weight: 400;\">out-of-network<\/span><\/a><span style=\"font-weight: 400;\"> pharmacy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paid for a compounded medication<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Were waiting for approval of a prior authorization request<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Didn\u2019t have your insurance card at the time of purchase<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Purchased medication outside the U.S. (if your plan has international coverage)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Were billed incorrectly by the pharmacy<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You can also inform your insurance company that SingleCare provided a lower price than your insurance rate, which may open the door for reimbursement, even if you receive prescription benefits through Medicare or Medicaid.<\/span><\/p>\n<h2 id=\"how-do-i-get-reimbursed-for-a-prescription\"><span style=\"font-weight: 400;\">How do I get reimbursed for a prescription?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To apply for a health insurance reimbursement, simply:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Complete the prescription reimbursement form.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Attach the pharmacy receipt for the prescription (and keep a copy for your records).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Submit the receipt and form to your insurance company, following the instructions provided.<\/span><\/li>\n<\/ol>\n<table class=\" singlecare-table\" role=\"table\">\n<tbody>\n<tr class=\"header-row\">\n<td><b>Insurance name<\/b><\/td>\n<td><b>Contact information<\/b><\/td>\n<td><b>Reimbursement form<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Aetna<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Aetna Pharmacy Management<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 52444<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phoenix, AZ 85072-2444<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fax: 1-888-472-1128<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/2bRjiWYzR4i4NpP3XjGePw\/ce99e46333628e9bf1276427987df6bf\/Aetna-paper_claim_form.pdf\"><span style=\"font-weight: 400;\">Aetna form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Anthem<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Claims Department<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 52065<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phoenix, AZ 85072-2065<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fax: 401-404-6344<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.anthem.com\/forms\"><span style=\"font-weight: 400;\">Anthem forms<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Blue Shield California<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Blue Shield of California<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Argus Health Systems, Inc.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 419019, Dept 191<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kansas City, MO 64141<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/1WkVYgDSuE55C3Iy7NYZ2M\/a8975b6cfd763060866ae28d2f8358e7\/Blue_Shield_CA_Prescription_Reimbursement_Form_nLF3y2P.pdf\"><span style=\"font-weight: 400;\">Blue Shield California form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Blue Cross Blue Shield<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Prime Therapeutics (Commercial)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 25136<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lehigh Valley, PA 18002-5136<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/3NwbY8Ab7auflT4T3CuSAf\/f70ef00aa33c4524fccc1a42eca2ce14\/BCBS-Texas-rx_prime_claim_tx.pdf\"><span style=\"font-weight: 400;\">BCBS form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Cigna<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Cigna Pharmacy Service Center<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 188053<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chattanooga, TN 37422-8053<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/6euxwJlsEKNuKjc5afCG49\/e1702ef60393f007efc192cd11a70246\/Cigna-pharmacy-claim-form.pdf\"><span style=\"font-weight: 400;\">Cigna form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">CVS \/ Caremark<\/span><\/td>\n<td><span style=\"font-weight: 400;\">CVS\/caremark<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 52136<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phoenix, Arizona 85072-2136<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/1I0NVT5VaUtn5rfiy4s9lh\/55cb1eb97e7466f8ac1a77e0ad921aed\/CVSCaremark-paperclaim_std_eng.pdf\"><span style=\"font-weight: 400;\">CVS form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Express Scripts<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Express Scripts<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 14711<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lexington, KY 40512<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/1I0NVT5VaUtn5rfiy4s9lh\/55cb1eb97e7466f8ac1a77e0ad921aed\/CVSCaremark-paperclaim_std_eng.pdf\"><span style=\"font-weight: 400;\">Express Scripts form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Health net<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Health Net of California<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\/O Caremark<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 52136<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phoenix, AZ 85072-2136<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/406rTE0l4jfxce49d0ZBVr\/56a2fe13f165e2dfc4945237343f99fc\/HealthNet-ca_rx_claim_form_eng.pdf\"><span style=\"font-weight: 400;\">Health Net form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Humana<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Humana Pharmacy Solutions<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 14140<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lexington, KY 40512-4140<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fax: 866-754-5362<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/3F3EwV4DvddRETwxuWAPV\/a04b749923250ce9546502b1c32242f1\/Humana-claim-form.pdf\"><span style=\"font-weight: 400;\">Humana form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Kaiser Permanente<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OptumRx Claims Department<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 29044<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hot Springs, AR 71903<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/7bCl3DsUESwLpD8Bn8nZ82\/97e55cba7f4e97b148bb71aed3de1321\/Kaiser-mid_selffund_claimform.pdf\"><span style=\"font-weight: 400;\">Kaiser form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">OptumRx<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OptumRx<\/span><\/p>\n<p><span style=\"font-weight: 400;\">ATTN: Claims Department<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 29077<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hot Springs, AR 71903<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/43b6bqEbnBMLKc6mPwJSmB\/2037055b892acb14ebc8d3bb0b036a04\/Optum-prescriptionclaimform.pdf\"><span style=\"font-weight: 400;\">OptumRx form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">United Healthcare Oxford\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OptumRx Claims Department<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 29077<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hot Springs, AR 71903<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/3wBHloGlHecycoB99awV9W\/bcfd65daa62ea398253cc24f354283df\/Oxford_prescription_reimb_claim_form.pdf\"><span style=\"font-weight: 400;\">Oxford form<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">United Healthcare<\/span><\/td>\n<td><span style=\"font-weight: 400;\">OptumRx Claims Department<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P.O. Box 29044<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hot Springs, AR 71903<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/assets.ctfassets.net\/4f3rgqwzdznj\/62JS8Ssq0OHP92shZ7cd1o\/86979aac0336688f4a2a6fc6243bf57f\/United-healthcare-OptumRxClaimForm.pdf\"><span style=\"font-weight: 400;\">United Healthcare form<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><small><i><span style=\"font-weight: 400;\">Forms and addresses may vary by plan, state, and PBM (pharmacy benefit manager). Confirm the correct information with your insurance provider before submitting paperwork.<\/span><\/i><\/small><\/p>\n<p><span style=\"font-weight: 400;\">Keep in mind that most insurance companies have a deadline for submitting after you fill your prescription, so be prompt. Then, wait and see.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Insurance policies vary, and outcomes may depend on the agent handling your claim. Your request could be declined, or the company might apply your payment to your deductible, request more information, or issue you a reimbursement.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When you use SingleCare to save on your prescriptions, you\u2019re opting for substantial savings instead of using your insurance. The choice is considered an out-of-pocket or cash purchase by your insurance company. However, there\u2019s a silver lining: You may be eligible for reimbursement by your insurance company if you\u2019re willing to do a little paperwork. [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":6660,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[4350,7],"coauthors":[8861],"class_list":["post-9843","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-company","tag-prescription-savings","tag-singlecare","franchise-ask-singlecare","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Will I get insurance reimbursements when using SingleCare?<\/title>\n<meta name=\"description\" content=\"SingleCare coupons can be used instead of insurance, but not in combination with it. 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