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To submit a claim via the portal, you will need:

  • A Hibsago Copay Portal account (create account)
  • Information to verify your drug purchase

To submit a claim via mail or fax, you will need:

  • Proof of payment showing out-of-pocket cost

Please note: You may only submit a claim if you have commercial insurance and you are not a participant of Medicare Part B, Medicare Part D, Medicaid, Medigap, VA, CHAMPUS, TriCare or other similar federal or state program.



If you have any questions, please contact the HIBSAGO Copay Program at (844) 817-1220. (8am – 8pm EST, Monday–Friday)

Interpreter services are available.