The Cost Comparison Tool and Machine-Readable Files are are currently unavailable due to technical issues with Change Healthcare. They are actively working to restore service. We apologize for any inconvenience this may cause.
Claims forms are here for your members. If you have questions, please call our Customer Service Contact Center at 1-800-795-1023.
If you received care or a bill from an out-of-network provider, use these forms to submit a claim for reimbursement or to request coverage.
Members can use the following forms to give MedCost permission to share information about themselves (or a dependent) with another person or organization.
Reimbursement forms related to your flexible spending account (FSA).
Members use this form for short-term disability claims.