Please read reverse side for limitations and required documentation needed to submit a claim Claims must be filed within 1 year of the date of service or payment by health plan whichever is later SHIP Claim Form UFT/RTC Supplemental Health Insurance Program SHIP Mail Claim Form to SHIP P. C. Private Duty Nursing 9. Nurse s/Home Health Aide s D. Surgery/Anesthesia 10. Orthopedic Shoes Do Not Write In Area Below...
Fill & Sign Online, Print, Email, Fax, or Download
You can file a domestic claim for insured, registered, or COD shipments or submit
an ... Mail & Ship ... If you're unable to file a claim online, please call 1-800-ASK-
USPS® (1-800-275-8777) to have a Domestic Claim Form mailed to you.