Member Reimbursement

If you pay our plan’s share of the cost of your covered services or drugs, or if you receive a bill, you can ask us for payment. Sometimes when you get medical care or a prescription drug, you may need to pay the full cost right away. Other times, you may find that you have paid more than you expected under the coverage rules of the plan. In either case, you can request that our plan pay you back (often called “reimbursing” you). It is your right to be paid back by our plan whenever you’ve paid more than your share of the cost for medical services or drugs that are covered by our plan.

To make sure you are giving us all the information we need to make a decision, please fill out our Member Reimbursement Formopens PDF file  to make your request for payment. You don’t have to use the form, but it will help us process the information faster.

Mail your request for payment for medical services, together with any bills or receipts to us at:

Payment Request Address
AgeWell New York, LLC.
Attn: Claims Department
1991 Marcus Avenue, Suite M107
Lake Success, NY 11042-2057

Mail or fax your request for payment for Part D prescription drugs, together with any bills or original receipts to us at:

Part D Payment Request Address
Elixir
Attn: DMR Department
8935 Darrow Rd
P.O. Box 1208
Twinsburg, OH 44087
Fax: 1-866-646-1403

You must submit your claim to us within 1-year of the date you received the service, item or drug.