Insurance Claims
Claim Forms
Print the plan's pdf claim form and submit it to the appropriate department.
- Travel Insurance Select®
- To file a claim, please call the claims department. Find out more.
- Study USA-HealthCare™
- Voyager Annual Plan
- InterMedical™ Insurance
- Visit USA-HealthCare™
- WorldMed™ Insurance
Please Note: Adobe Acrobat Reader is required to view or print each form. If youdo not have this FREE browser plug-in, click the Adobe Acrobat Reader icon at left.
If you have questions, please call 800-937-1387 (or 925-932-1387 in the San Francisco Bay Area) from 8:30 am to 5:00 pm Pacific Time, Monday through Friday.
Other Plans
If you are enrolled in another plan, please refer to your Confirmation/Certificate of Insurance or your Summary of Coverages.