There are 5 ways to submit your benefits claims

What Am I Covered For?

Refer to your employee benefits booklet, available from your employer, for details of your benefits coverage. Or contact The Benefits Trust directly with any questions about your coverage.

Medical Claims

Submit through The Benefits Trust Mobile Claim App, the Online Claim Submission Form, or submit by email, fax, or mail. For mail, fax, or email claims, complete and sign a Medical and Drug Expenses Claim Form (PDF) . Submit itemized receipts showing the patient name, the service performed or goods purchased, the date, and the amount paid. A cash register “tape” or credit card receipt is not sufficient for medical claims. Some medical expenses may require a written physician’s recommendation also. Refer to your benefits booklet, or call The Benefits Trust, if you have questions about your coverage.

Important Note: Do NOT send original receipts by mail as they will not be returned.

Vision Care Claims

Submit through The Benefits Trust Mobile Claim App, the Online Claim Submission Form, or submit by email, fax, or mail. For mail, fax, or email claims, complete and sign a Medical and Drug Expenses Claim Form (PDF). Submit itemized receipts showing the patient name, the service performed or goods purchased, the date, and the amount paid. A cash register “tape” or credit card receipt is not sufficient for medical claims. Some medical expenses may require a written physician’s recommendation also. Refer to your benefits booklet, or call The Benefits Trust, if you have questions about your coverage.

Important Note: Do NOT send original receipts by mail as they will not be returned.

Dental Care Claims

Your dental office can submit electronically to The Benefits Trust using your policy number and certificate number, through the NDC Health/ACE network, carrier ID 610146, batch/version 2. You can also submit a Detailed Dental Claim Form (PDF) provided by your dental office through The Benefits Trust Claim App, Online Claim Submission Form or by mail, fax, email. We can pay the dentist directly if requested. If your dentist does not print their own forms, or submit electronically, you can give the dental office one of The Benefits Trust dental claim forms. Please ask your dental office to call us if they are having difficulty submitting your claim electronically.

Short Term Disability Claims

Complete and submit a Short Term Disability claim form (PDF) to The Benefits Trust within 90 days of the end of the waiting period. Claim forms can be submitted by mail, fax, or email. Please ask your doctor to complete their section clearly and in full. During the duration of a Short Term Disability claim, an updated report may be required. This form will be provided directly to you by The Benefits Trust.

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