Visitors Plans

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

Travel Insurance Services (TIS) Download Claim Forms Claimant's Statement Non-U.S. Claim Form Accident Questionnaire Dental Claimant's Statement InterMedical Download Claim Forms Claimant's Statement Non_US Claim Form Accident Questionnaire Dental Claimant's Statement WorldMed - Inbound WorldMed - Outbound Download Claim Forms Claimants Statement Non-U.S. Claim Form Accident Questionnaire Dental Claimant's Statement Study USA Healthcare Standard Study USA-HealthCare - PREFERRED300 Study USA-HealthCare - PREFERRED500 Download Claim Forms Claimant's Statement Non-U.S. Claim Form Accident Questionnaire Dental Claimant's Statement Visit USA HealthCare - Budget Visit USA HealthCare - Standard Visit USA HealthCare - Superior	Email Must submit proof of claim with in 60 days from date of loss service@hccmis.com Mail HCC Medical Insurance Services, LLC Attention: Claims Department P.O Box 2005, Farminton Hills, MI 48333-2005 Fax 317-262-2140 Phone 800-605-2282 Or 317-262-2132

Customer Services