Bartley Ranch showcases several historic Nevada ranch houses. Come see them!
Bartley Ranch showcases several historic Nevada ranch houses.  Come see them!

What documentation should accompany the Claim Reimbursement Form for each type of claim?
Dr. Office Visit: • A copy of the bill, OR • An EOB (Explanation of Benefits), OR • Office notes

Note: Routine care is not reimbursable under the GAP Plan.

Out-Patient Hospital: • A copy of the hospital bill

In-Patient Hospital: • A copy of the EOB • A copy of the hospital bill

Note: There is no limit to the number of hospitalization benefits payable. Each hospitalization benefit is payable on its own. There is a limit for the out-patient benefit if the treatment is for the same condition within a 90-day period.