Please download the PDF file below to start your claim process today !

On-line Pharmacy Benefit Certificate

NEED ASSISTANCE?


Prescriber:  Please attach all prescriptions to this form and return to patient to submit to pharmacy.  For a listing of authorized participating pharmacies, please call the Key Health Care Help Desk at 1-888-320-5397 (KEYS).

Pharmacist:  if you have any questions while processing the claim, please call the Key Health Care Help Desk at 1-888-320-5397 (KEYS).

This is NOT insurance and it is not intended to replace insurance.  This program does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00; but will provide you with a significant discount off the cost of your prescription drugs.  To learn if you may be eligible to receive additional savings on your prescription drugs, please call 888-320-5397.