Reimbursement for GED Fee Form ENG

Value Added Service | Reimbursement for GED Fee

*Valid September 1, 2026 to August 31, 2027
Dear Cook Children’s Health Plan Member,

Cook Children’s Health Plan would like to send a $25 gift card for enrolling and completing a GED class.

To be eligible for this reward, Member must:
1. Be an active Member on date of service
2. Be 17 years of age and older
*Date of service must be within the current fiscal year (September 1, 2026 - August 31, 2027)
Member first name:
Member last name:
Member ID number:
Member DOB:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Submit Proof of GED Completion

Cancelof
Please remember to register or log in to Healthmine to access your digital gift card and rewards.

Some limitations and restrictions may apply. Member must be active both on the date of service and on the date of request. If you have any questions please visit our website www.cookchp.org, contact us through the MyCookChildren’s Member Portal or call Member Services at 1-800-964-2247.
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