U.S. HEALTHCARE
Forms
Cigna Dental PPO Network Nomination form
Dental claim form
Diabetic supplies FAQs
Disabled Dependent form
FSA claim form (Dependent care)
FSA claim form (Healthcare)
Cigna claim form
ISE Expat Catamaran Claim Form
ISE Expat Catamaran EFT Form
ISE Expat Health Claim Form
ISE Expat Catamaran Claim Form
ISE Expat Catamaran EFT Form
ISE Expat Health Claim Form
PPO medical claim form
BCBS EPO medical claim form
UHC international claim form
(for claims incurred while traveling or living abroad, excluding ISEs)
UHC out-of-network hearing aid claim form
Prior authorization forms
Caterpillar prescription drug expense claim form
(for claims before 1/1/19)
Caterpillar prescription drug expense claim form
(for claims on or after 1/1/19)
Instructions for submitting a claim
VSP claim form
VSP claim form
UHC claim form
(for retirees who are enrolled in a UHC plan option that does NOT include vision coverage through VSP)