Prescription Reimbursement

– Take a picture of the receipt on the bag.
– Include your policy#
– Email to: claimsdepartment@neweralife.com

Self Pay

Claim Form

Download and complete and email form.

No Signature Required.

GAP Medical Claim

Form

Download and complete

and email form.

Accident Claim

Forms

Download and complete

and email form.

Critical Illness

Claims

Download and complete

and email form.

Medical Expense

Claims

Download and complete

and email form.