FAQ



Q : How do I submit a claim?
  • Gather all the relevant materials (such as receipts or explanations of benefit) and the appropriate claim form.
  • Staple everything together with the claim form on top.
  • Mail your claim directly to the Benefits Office.
  • Do not submit or mail your claim to a representative of the hospital, as he or she is not involved in the processing of claims.


Q : Where can I find claim forms?
A : There are 3 different kinds of claim forms, HSBP, PEP, and WMC:
  • The HSBP benefits for which claims may be made include: Hearing Aid, Mental Health Outpatient Benefit, Newborn, Optical, Prescription Drug, Smoking Cessation, Short Term Disability, Supplemental Dental, and Supplemental Obstetrical. The claim forms are available on the HSBP webpage.
  • The PEP (Professional Educational Plan) claim form is available on the PEP webpage.
  • The Book Reimbursement Benefit for WMC Residents and the Conference Reimbursement Benefit for WMC Residents claim form claim forms are available on the HSBP webpage.


Q : Which is the correct form for a book claim?
A : There are 2 different kinds of book claims, PEP and WMC:
  • If you are employed at an HHC Hospital, you must use the PEP (Professional Educational Plan) claim form which is available on the PEP webpage.
  • If you are employed at Westchester Medical Center, you must use the Book Reimbursement Benefit for WMC Residents claim form which is available on the WMC webpage.


Q : Which is the correct form for a conference claim?
A : There are 2 different kinds of conference claims, HHC and WMC:
  • If you are employed at an HHC Hospital, you must use the Conference Reimbursement Benefit for HHC Residents claim form which is available on the HSBP webpage.
  • If you are employed at Westchester Medical Center, you must use the Conference Reimbursement Benefit for WMC Residents claim form which is available on the HSBP webpage.