MedAmerica

medAmerica

Secure Document Upload

This form should be used to securely submit documents related to your MedAmerica-administered long term care insurance policy. Please be sure to select the correct Document Type so that we can route your document to the proper department.

Questions? Read our secure document upload guide

*All fields are required.

Billing Account

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Last Name

Document Type

Attach File:

Please click the 'Choose File' button, select a PDF, JPG, JPEG or PNG file, and click 'Submit'.