MEDICAL: IMPORTANT INFORMATION
ITEM RESPONSE
INSURANCE
Dental Insurance Provider
Dental Insurance Phone Number
Dental Insurance Policy Number
Dental Insurance Website
Names on the Account
Health Insurance Provider
Health Insurance Phone Number
Health Insurance Policy Number
Health Insurance Website
Names on the Account
Other Insurance Provider
Health/Dental Insurance Phone Number
Health/Dental Insurance Policy Number
Health/Dental Insurance Website
Names on the account
YOU SHOULD KNOW…
To make sure that any claims that you submit while your member is deployed are accepted, print off some claim forms and
have your spouse sign the blank documents. Even if you have power of attorney, this could greatly reduce the "loops" that you
need to jump through to have your claim accepted.
