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If you need assistance completing any forms or have any questions, please call HospitalityCare customer service at 1-888-583-3057. Representatives are available Monday through Friday, 8:30 a.m. to 8:00 p.m. Eastern Time.
Prescription Drug Claim Form
(Use this form if Rx group: ECFDRX
is on your ID card.) If your Medical plan entitles you to pay a co-pay at the point of purchase and your prescription was not filed directly to Caremark by the pharmacy, use this form to submit for payment.
If your Medical plan entitles you to a discount at the point of purchase, and you file your receipts to PAI for reimbursement, please use the Medical Claim form located in the Forms section of this web site.
Please see your Summary Plan Description if you have questions as to which plan is associated with your group.
Please submit completed forms to:
Corporate Privacy Office
Planned Administrators, Inc.
P.O. Box 6702
Columbia, SC 29260