Basic (04-20)
GN 01762.325 Social Security Administration (SSA) Medical Exam Reimbursement Form
SSA uses Form SSA 1278 USA/UY 9 (Request for Payments of Reimbursable Expenses under
U.S. - Uruguay Agreement on Social Security) for reimbursement of medical expenses
regarding requests for exams. The Form SSA 1278 USA/UY 9 (Request for Payments of
Reimbursable Expenses under U.S. - Uruguay Agreement on Social Security) is located
on the Division of International Operations website. Mail the form to:
Banco de Prevision Social
Colonia 1881 Piso 2
C.P. 11200
Montevideo, Uruguay