Request for Reimbursement

 

To file a request for reimbursement, complete one of the following forms:

 


Submit your completed form(s) by mail or fax:

 

Preferred Blue Accounts
P.O. Box 11586
Birmingham, Alabama 35202-1586
Fax 1 877-889-3610 (Toll Free)

 

Request for Direct Deposit

 

To register for direct deposit service, please submit your request using one of the following methods:

 


Submit your completed form along with a voided check by mail or fax:

 

Blue Cross and Blue Shield of Alabama
ATTN: Treasury Operations
450 Riverchase Parkway East
Birmingham, AL 35244-2858
Fax 205 220-2795

 

Preferred Blue Accounts Health FSA Brochure

 

Download a Preferred Blue Accounts Health FSA Brochure

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