Health Spending Account Claims
Please use the Health Spending Account Claim Form available in Member Profile and attach
original detailed receipts and any benefits statements from other plans. You may
make your EHC and HSA claim together on the same form.
Health Spending Account Claims are considered by your group plan and the Medical
Services Plan of BC before they can be claimed under your Health Spending Account.
For most expenses, you will need to submit:
- Health Spending Account claim form*
- An explanation of benefits statement if another insurance carrier has considered
the claim (such as your spouse's plan)
- Original paid receipts (photocopies are only accepted if you have submitted the
original receipts under another group plan)
*Make sure to answer yes for each expense to the question “Apply unpaid balance
to HSA plan?” in the provided column on the claim form. Please see the reverse of
the HSA claim form for detailed claiming requirements for each benefit.
Coordination of benefits can save you out-of-pocket expenses
If the dependent making the claim has coverage under more than one plan, please
see our information on coordination
Most plans provide a specific period of time in which allowable expenses must be
submitted. You can find out the specific claiming deadline for your plan by referring
to your plan booklet, or by signing in to
We suggest that you submit your claims promptly. Pacific Blue Cross can only pay
claims we receive, with correct and complete information, before your claiming deadline.