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Anthem claim form | Medical PPO, HDHP, HDHP Basic

Anthem claim form (medical services outside the U.S.) | If you receive medical services under your Medical PPO, HDHP, HDHP Basic while temporarily outside the U.S. with travel

Anthem Claim for Reimbursement of Travel Expenses | When Anthem has approved your medical claim for the related medical service, you can then submit a claim for reimbursement of qualifying travel expenses. Do not use the standard medical claim form to submit a travel benefit claim; your request will be denied. Be sure to read important rules and restrictions regarding this benefit prior to submitting a claim: Medical PPO Information | HDHP and HDHP Basic Information

Continuation of Care Application | Medical PPO, HDHP, HDHP Basic - Continuity of Care generally, applies to hospitalization, pregnancy, and treatment for a serious and complex condition. Transition Assistance is a process that allows continued care for participants when certain situations occur, such as: your primary provider is terminated from the participating provider network; you're a new enrollee in an Anthem plan and your primary provider is not part of the network; your continuity of care is at risk for reasons over which you have no control.