Unreimbursed Medical

Prescription/Medical Copayment Reimbursement Program

COBANC provides a Prescription/Medical Copayment Reimbursement Program for Active Members, Retirees, and their eligible dependents. This benefit allows for reimbursement of any copayments, unreimbursed medical/dental expenses, prescription medications, office visits for you and your family, and medical insurance premiums deducted from the member or spouse’s paycheck. The filing period for this benefit opens on January 1st and the claim form must be submitted by the deadline indicated on the form for payments of the prior calendar years claims. It will be paid according to the schedule listed in the Active Supplemental Benefits Plan.

Prescription-Medical Copayment Reimbursement Form 2024-01-01

To view plan coverage, please go to the Active Member Benefits Main Page.

Claims Processing

The Unreimbursed Medical Claim Form will be available when the filing period for this benefit begins on Jan 1. Please do not use a prior year's form as the mailing address for this benefit is subject to change.

Please allow up to 45 days. If you need to speak to a representative, please call the COBANC Health & Welfare Fund at 516-794-0600.