Claim Information: International Medical Group ( IMG )

All Claims MUST be initiated by the insured. Remember to sign all forms and send back to the claims department. 

Address: IMG iTravelInsured® Claims, P.O. Box 3231, Farmington Hills, MI 48333-3231 USA

All claim forms are found here:

https://www.itravelinsured.com/customer-service/claim-forms

Cancellation & Interruption Claim Form:

https://www.itravelinsured.com/docs/default-source/claim-forms/trip-cancellation-interruption-claim-form.pdf?sfvrsn=34

Medical Claim Form:

https://www.itravelinsured.com/docs/default-source/claim-forms/emergency-medical-evacuation-claim-form.pdf?sfvrsn=26

Baggage Claim Form:

https://www.itravelinsured.com/docs/default-source/claim-forms/baggage-delay-loss-claim-form.pdf?sfvrsn=30

Travel Delay Claim Form:

https://www.itravelinsured.com/docs/default-source/claim-forms/travel-delay-claim-form.pdf?sfvrsn=28

Alternative Payee Form:

https://www.itravelinsured.com/docs/default-source/claim-forms/alternate-payee-form.pdf?sfvrsn=20

ACH Payment Form:

https://www.itravelinsured.com/docs/default-source/claim-forms/ach-transfer-authorization-and-agreement-form.pdf?sfvrsn=32

 

Precertification: https://myimg.imglobal.com/precertification/

Assignment of Benefits Form: http://producer.imglobal.com/ProducerDocuments.ashx?DocumentID=1820

Privacy and Confidentiality Release Form: http://producer.imglobal.com/ProducerDocuments.ashx?DocumentID=595

IMG Claims Department Information:

International Medical Group
Claims Department
PO Box 88500
Indianapolis, IN 46208-0500

 

IMPORTANT: Please remember to submit your bills and receipts as soon as you receive them. Do not hold them until the end of the year. IMG will apply eligible medical expenses to your deductible and coinsurance throughout the year.

 

Insurance Consultants International is not the claims department. If you need assistance or have questions, we are happy to help! Please call us at 1-800-576-2674.