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.
- Note: If you are resident in Texas, please use this form.