How to File a Claim
There are three ways you can submit an expense to PAN for reimbursement:
- If you receive your medication from your pharmacy, your pharmacist can send the bill to PAN.
- If your physician gives you your medication in the office, your physician can send the bill to PAN after submitting it to your insurance company.
- If your pharmacy or physician does not submit the bill to PAN, you can pay for the medication or service yourself and download a Proof of Expenditure form below to send to PAN.
Proof of Expenditure Form: Medications and Treatments
PAN grant recipients can submit PAN-approved expenses for reimbursement using the Proof of Expenditure form. You do not need to complete this form if your healthcare provider or pharmacist has submitted or will submit a claim on your behalf.
Proof of Expenditure Form: Premium and Travel
PAN grant recipients can submit PAN-approved expenses for reimbursement using the Proof of Expenditure Premium and Travel form.
Frequently Asked Questions
For a full list of frequently asked questions about claims processing, click on the link below.