Submit a Claim

For faster turn around you can submit your claim online using your policy or certificate number as it appears on your ID Card (dashes included if any) and your Date of Birth.

Before you start the online claims process, you will need:

  • Scanned receipts
  • Scanned medical records

NOTE: If you have received an email asking you to resubmit your claim, please login to My Account to resubmit it.

For Online or Mailed submissions please complete the following:

* Denotes A Required Field
Online Claim