Wellness Claim

You may be required to provide us with additional written information in regard to the claim. Please check your policy. Not all Giannini policies have a Wellness Benefit.

BEFORE YOU BEGIN...

You need to know the following information:

1. The Giannini Policy Number.
2. The type of medical test performed.
3. The date the test was performed.
4. The doctor's name that ordered or performed the test.
5. The doctor's address and phone number.

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TO File a Wellness Claim by mail or fax:

Please submit this completed Wellness Claim form along with a detailed statement from the medical provider showing the type of test and date performed.

Click here to download the form

The Wellness Benefit is payable only once per calendar year per Covered Person
Qualifying tests are: Mammogram; Pap Smear; PSA; Colonoscopy; Biopsy; Breast MRI or Ultrasound; CA125; CA 15-3; CEA; Chest X-ray; Flexible Sigmoidoscopy; Hemoccult Stool Specimen; Testicular Ultrasound, Thermography or Thin Prep; Serum Protein Electrophoresis; or Virtual Colonoscopy.

Mailing address:	Giannini Insurance Agency
	Attn: Wellness Claims
	1111 East I65 Service Road South # 211
	Mobile, AL 36606
Or FAX to:	251-382-1879 or 251-219-4845