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How to submit a claim
First, you will need to fill out the claim form below. A few key things to remember:
- Please provide as much information as possible.
- All fields are required unless marked optional.
- A claim cannot be submitted without the required fields completed.
- Click the “Next” button at the bottom of each page to save your information.
- In the last step, you’ll be able to review and print all the information you’ve provided.
If at any time you have questions or need assistance, please call
You may also submit your claim by fax, email, or mail by downloading, printing, and completing one of these claim forms:
Accidental Injury [PDF] Critical Illness [PDF] Hospital Care [PDF] Wellness Incentive [PDF]
Note: Based on higher than normal claim volumes, please allow additional time for review.
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Cigna Company Information
Product availability may vary by location and plan type and is subject to change. All health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, review your plan documents or contact a Cigna representative.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of North Carolina, Inc. and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates ( see