Submit a Claim

Before you start the online claims process, you will need:
  • Scanned receipts in pdf, jpg, jpeg, png or gif formats.
  • Scanned medical records in pdf, jpg, jpeg, png or gif formats.

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

Online Claim

* Denotes A Required Field