Request for Reimbursement
To file a request for reimbursement, complete one of the following forms:
- Preferred Health FSA/HRA Form (type your information and print)
- Request for Reimbursement Preferred Health FSA/HRA Form (print and fill in your information)
- Mileage Reimbursement Form.
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:
- Register online
- Print and complete a Preferred Blue Accounts Direct Deposit Service Form
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