Medical Transition Assistance Form
If you are currently under the care of a non-Scripps network physician for on-going medical treatment, receiving home care services, utilizing durable medical equipment or receiving any type of on-going medical services, please complete the Medical Transition Assistance Form and return it to Schaller Anderson. This information will help to facilitate a smooth transition of your health care needs.

Coordination of Benefits Questionaire
If you or any of your covered dependents have other health insurance coverage through a health plan other than Scripps Medical Plans, please complete the Coordination of Benefits Questionnaire and return it to Schaller Anderson. This information will help to coordinate benefits when a provider or you submit a claim for medical services.

Verification of Student Status
If you are covering a dependent on Scripps Medical Plans and the dependent is between the age of 19 and 25, please complete the Student Status Verification form by clicking on "Student Status Verification" above and return it to Schaller Anderson. This information will prevent termination of coverage or denial of claims.

Medical Claim Form
The Medical Claim Form is available as a convenience to members of Scripps Medical Plans. Members may use this form to request reimbursement for covered services that the member has already paid for.