Submit a Medicare claim

If you are age 65 or older, have end-stage renal failure or are permanently disabled, you may qualify for Medicare benefits. We can help you by submitting your Medicare claim for you.

Please provide the following information so that we can submit your insurance claim:

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Patient information

Medicare information

Medicare HMO Information

Supplemental insurance information

Contact information

(888) 214-4065

Call for help

For help submitting an insurance claim, call the Financial Assistance Unit.