Home
About Us
Employee Directory
Resources & Claim Forms
Reviews
Events
Blog
Self Enroll
Contact
Summary of Benefits
More

Home
About Us
Employee Directory
Resources & Claim Forms
Reviews
Events
Blog
Self Enroll
Contact
Summary of Benefits

Resources

Claim Forms

Medicare Resources

Find A Provider

Medicare Resources

Find A Provider

Claim Forms

Need to file a claim, but not sure what to do?

1.Download and fill out a claim form.

2.Submit the form and documentation to the insurance company.

Specific submission and documentation instructions are included on each claim form below. If you need help submitting your claim, don't hesitate to contact us.

Dental, Vision & Hearing Claim Forms

MANHATTAN LIFE/CENTRAL UNITED LIFE- Dental/Vision/Hearing Claim Form (pdf)

Download

UNITED HEALTH ONE - Dental Claim Form (pdf)

Download

UNITED HEALTH ONE - Vision Claim Form (pdf)

Download

WELLABE/MEDICO - Dental Claim Instructions & ADA Claim Form (pdf)

Download

Accident Claim Forms

PHILADELPHIA AMERICAN - Accident Claim Form (pdf)

Download

WASHINGTON NATIONAL - Accident Claim Form (pdf)

Download

Cancer, heart Attack & Stroke Claim Forms

GUARANTEE TRUST LIFE - Cancer, Heart Attack, and Stroke Claim Form (pdf)

Download

WASHINGTON NATIONAL - Cancer Claim Form (pdf)

Download

AETNA - Cancer Claim Form & Instructions (pdf)

Download

Misc. Forms

GUARANTEE TRUST LIFE - Hospital Indemnity Claim Form (pdf)

Download

PHILADELPHIA AMERICAN - Medical Indemnity Claim Form (pdf)

Download

UNITED HEALTH ONE - Health Protector Guard Claim Form (pdf)

Download

AETNA - Recovery Care Claim Instructions (pdf)

Download

Medicare Resources

MEDICARE WEBSITE LINKS:

Apply for Medicare Online

Centers for Medicare & Medicaid Services Website

Apply for Social Security Online

Apply for Medicaid

FREE DOWNLOADABLE RESOURCES:

2024-Medicare Costs at a Glance (pdf)Download

Do You Understand the Medicare Coverage Options? (pdf)Download

Do You Qualify for Xtra Help in 2024? (pdf)Download

Skilled, Intermediate, and Custodial Care - What's the Difference? (pdf)Download

What to Expect from Social Security in 2024 (pdf)Download

2025 Medicare and You (pdf)Download

2024 Choosing a Medigap Policy (pdf)Download

Find A Provider

DENTAL

United Healthcare - Dental (Network: National Options PPO 30 )
Manhattan Life/Central United Life - Dental (Network: Careington Maximum Care PPO)

VISION

United Healthcare - Vision (Network: National Options PPO 30 )

MAJOR MEDICAL / MEDICAL INDEMNITY / MARKETPLACE (ACA)

Ambetter - Marketplace (ACA)
Anthem BCBS - Marketplace (ACA)
CareSource - Marketplace (ACA)
Cigna HealthCare - Marketplace (ACA)
Kaiser Permanente - Marketplace (ACA)
Philadelphia American - Health Saver Plus/Medical Indemnity