Making Healthy Cheaper
$500 for Dependent Accident Claims

The OPEH&W Health Plan will reimburse up to $500 each plan year for out-of-pocket costs incurred for a covered dependent child for covered services received at an emergency room, urgent care facility or minor emergency center for an accidental injury.
How to Apply
  Request must be submitted by the member
  Request must be made no later than 3-months after the end of the plan year
  Complete the Dependent Child Accident Reimbursement Form
    Accident Reimbursement Form  
  Attach an Explanation of Benefits (EOB) from BlueCross & BlueShield
  Ensure it shows the accident claim the dependent child had during the plan year
  Mail the completed Dependent Child Accident Reimbursement Form and the EOB to:
   OPEH&W Health Plan
 3851 E Tuxedo Blvd, Suite C
 Bartlesville OK 74006
  Reimbursement checks are mailed directly to the Member