File a Claim

How to Submit Your Claim

Policyholders can refer to the address on the back of your ID card to submit a claim or submit a claim online

For Providers

Visit our Providers section for more information about submitting claims.

Step-by-step Guide

Use our guide to help you submit a claim when your service provider does not submit the claim directly.

Claim Forms

MedMutual Protect Policyholder Claim Form
Should be filled out completely and submitted with the physician and/or hospital bill. See the Notice to Residents on page 2 of the claim form.

Home Health Certification Claim Form
Physician's Home Health Care Certification claim form, see the Notice to Residents on page 2 of the claim form.