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 April 15th for payments of the prior calendar years claims. It will be paid according to the schedule listed in the Retiree Supplemental Benefits Plan. A link to the Plan can be found below.

Claims Processing

Healthplex processes claims for this benefit. Please allow up to 45 days. The Healthplex Member Site is an excellent place to keep track of your claims. Here you will be able to get quick and easy access to the information you need to manage your benefits. Click or tap here to log in or register. If you need to speak to a representative, please call 1-888- 468-5178.

Click or tap a link below to view or download
Retiree Supplemental Benefits Plan

Unreimbursed Medical Claim Form (It is preferable that you fill out this form electronically, then print, sign and date it before submitting it. If you hand-write this form, please print legibly.)