Get - Great-west Life

Filling out the Great-West Life Request for Information form is essential for obtaining approval for certain prescription drugs. This guide provides clear, step-by-step instructions to help users complete the form accurately and effectively.

Follow the steps to complete your Great-West Life Request for Information form.

1. Press the ‘Get Form’ button to obtain the Request for Information form, which you can then open in your preferred editor.
2. Begin with Part 1 of the form where you will fill in your personal information. Be sure to provide accurate details such as your name, date of birth, address, and your plan member identification number.
3. Move to Part 2, titled Coordination of Benefits. Here, answer whether you are currently or previously on the medication and provide any necessary information regarding prior coverage or financial assistance related to the drug.
4. Complete Part 3, which is to be filled out by your prescribing physician. This section requires detailed medical information regarding the diagnosis, treatment plan, and other relevant data.
5. Review the entire form for completeness. Ensure that all fields are filled out correctly to minimize delays in claim assessment.
6. Once completed, submit the Request for Information form to Great-West Life either by mail or fax using the contact information provided at the end of the form.
7. After submission, keep a copy of the completed form for your records. You may also want to follow up with Great-West Life to confirm the receipt of your request.

Complete your Great-West Life Request for Information form online today to ensure your claim is efficiently assessed.