Upload your Claim Related Documents

Upload your Medical Records

Explanation of Benefits

Proof of Coverage

Please provide a copy of your student transcript and/or a letter from your school showing you have attended classes for the first thirty (30) days of enrollment.

To verify you meet the plan eligibility requirements, please provide a copy of your VISA with corresponding legal documents for our records.

The legal documents that are accepted but not limited to specifying your VISA are:
An I-20 form copy for F1 Visa holder;
A DS 2019 form copy for J1 Visa holder;
An EAD card copy for Optional Practical Training(OPT) status;