File a Cancer Claim
To begin your claim, contact Midwest Heritage at 515-343-5047 or csr@mhbankins.com. A customer service representative will ask you for the following information to get the claim form started, and then mail the forms to you for completion.
- Employee name, social security number, and store location
- Current phone number, address and email address to contact claimant
When an employee receives the claim form from Midwest Heritage:
- Complete the Cancer Claim Form in its entirety.
- In order to document the contents of the form, the Insured and Claimant (if an adult) must sign and date the completed claim form.
- Please have the treating physician complete the Attending Physician Statement.
- Please have your physician provide the applicable documents in order to avoid a delay in processing.
Send the completed claim form with the appropriate itemized bills to:
Midwest Heritage
1025 Braden Ave.
Chariton, Iowa 50049
Fax: 641-774-2022
Email: csr@mhbankins.com
Depending on the facts and circumstances relating to your condition, additional information may be required to process your claim.