Select your plan to print a claim form:

Print a Pro:health claim formView details on claims for Medicare Progress PlanPrint a Medicare Options PlanPrint a Medicaid claim form

If you wish us to send you a claim form please call: 01234 267371


All completed claim forms must be signed and posted to:


PHSA, Head Office,
14 St. Cuthbert's Street,
Bedford, MK40 3JU