Step 1

Download Claim Form and fill out it.

Step 2

Send the completed Claim form and your ID Card including all the itemized bills, statements and receipts to the International Claim Service(ICS)

Step 3

Send Claims Materials by any following ways:

Fax: +1.949.271.2330
Mail: International Claims Services
27422 Portola Parkway, Suite 110
Foothill Ranch, CA 92610 USA


* Claims must be received by the claims department within 180 days of treatment to be eligible for reimbursement of covered expenses

Claim consultation or claim progress:, Toll-free: +1.866.914.5333

If your plan names are Atlas America(ATA)/Student Secure(SS)/Patriot Exchange Program(PEP),above information is not suitable for use, please contact us for detailed claims guide.