We must receive proof of claim within 60 days of the last day of your certificate period (or for claims incurred during a benefit period, 60 days from the date the claim is incurred).

A proof of claim must include all of the following:

1. A completed and signed Claimant’s Statement and Authorization form, together with any/all required attachments;
2. Itemized bills from physicians, hospitals and other medical providers; and
3. Receipts for any expenses which have already been paid by you or on your behalf.