Confirmation

Your submission has been received.
Your reference number is 186967

  Please ensure to send us a signed copy of the Authorization pageopens in new window to ensure prompt processing of your claim submission.

Please reference this number when calling our customer service center.
Please note that your claim will be reviewed once all information is received. If not already provided, and to ensure prompt review of your claim, please have your physician complete the Attending Physician’s Statementopens in new window and send it to Manulife using our online claim system, or send via mail or fax as instructed on the form.
If you have questions about your submission, please contact our customer service center at 1-877-481-9169.