Coordination of Benefits (COB)
Coordination of Benefits (COB) takes place when you have coverage under Valley Health Plan and another policy. One of the policies will be your primary coverage and one is your secondary coverage. Claims are first submitted to your primary policy and then to the secondary policy. The secondary policy covers the remaining cost of covered medications up to the allowed amount minus any applicable copayment. At the pharmacy, prescriptions are paid under your primary insurance. To be reimbursed by Navitus Health Solutions for your secondary coverage, you must complete a reimbursement form and submit it to Navitus Health Solutions.
Claim forms are available at www.navitus.com or by calling Navitus Customer Care, 24 hours/daily, at 1.866.333.2757 (toll-free).
Pharmacy Claims (Reimbursement) Requests
In an emergency, you may need to request reimbursement for prescriptions that you have filled and paid for yourself. If your prescription is eligible, you may receive reimbursement. To submit a claim for reimbursement, you must provide specific information about the prescription, the reason you are requesting reimbursement, and any payments made by primary insurers.
Complete the appropriate claim form and mail it along with the original receipt to:
Navitus Health Solutions
Operations Division - Claims
P.O. Box 999
Appleton, WI 54912-0999
Claim forms are available at
www.navitus.com or by calling Navitus Customer Care, 24 hours/daily, at
1.866.333.2757 (toll-free).