Visitors Plans

Note: Insurance company makes decision on claims. Download appropriate policy claim form.

Patriot America Lite Patriot America Plus Patriot Exchange Program Patriot Green America Patriot Green International Patriot International Lite Patriot America Platinum Patriot International Platinum Student Health Advantage - Excluding USA Student Health Advantage - Including USA Visitors Care Visitors Protect	Download Claim Forms Claim Form General Accident Questionnaire Privacy and Confidentiality Release Form Dental Reimbursement Form Online Claim Forms Claim Form
Email Must submit proof of loss IMGCustomerCare@imglobal.com	Mail International Medical Group, Inc. Attention: Claims Department PO Box 9162, Farmington Hills, MI 48333
Fax 317-655-4505	Phone 800-628-4664 Or 317-655-4500

Customer Services