Accident and Health Insurance

To proceed with your claim, we will need you to provide us with some important documents.

Please make sure to include the following documents:

• Benefit request completed and signed by the insured

In case of preventive tests:

• Preventive test benefit request
• Expense receipt
• Test results

In case of first cancer diagnosis:

• Pathological diagnostic report

In case of pernicious disease and skin cancer:

• Initial diagnostic test
• Expense invoice

In case of death:

• Death certificate (RD-77 model)
• Funeral expense receipt

Follow-up cancer and pernicious disease treatment:

• Follow up benefit request completed and signed by the insured
• Medical evidence related to the claimed benefit
• Official expense invoice corresponding to each of the claimed services

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You can submit these documents using any of the following methods:

• Email: servicio.reclamaciones@cosvi.com (only PDF format documents will be accepted)
• Mailing address: P.O. Box 366267 San Juan, PR 00936-6267
• Fax: 787-200-2574
• Physical delivery: Feel free to visit any of our offices to deliver the documents in person.

To proceed with your claim, we will need you to provide us with some important documents.

Please make sure to include the following:

• Benefit request completed and signed by the insured
• Certification of intensive care unit with admission and discharge date and time indicating the diagnosis for which the patient was admitted

You can send these documents using any of the following methods:

• Email: servicio.reclamaciones@cosvi.com (only PDF format documents will be accepted)
• Postal mail: P.O. Box 366267 San Juan, PR 00936-6267
• Fax: 787-200-2574
• Physical delivery: Feel free to visit any of our offices to submit the documents in person.

To proceed with your claim, we will need you to provide some important documents.

Please make sure to include the following:

• Benefit request completed and signed by the insured
• Discharge summary

You can submit these documents using any of the following methods:

• Email: servicio.reclamaciones@cosvi.com (only PDF format documents will be accepted)
• Postal mail: P.O. Box 366267 San Juan, PR 00936-6267
• Fax: 787-200-2574
• Physical delivery: Feel free to visit any of our offices to submit the documents in person.

To proceed with your claim, we will need you to provide some important documents.

Please make sure to include the following documents:

• Benefit request completed and signed by the claimant

In the case of treatment in a Emergency Center:

• Emergency center report
• Report of expenses incurred in the emergency center

In the case of hospitalization due to an accident:

• Discharge summary

In the case of loss of vision or dismemberment:

• Medical record

In the case of death:

• Death certificate (RD-77 Model)
• Police report
• Autopsy report

You can send these documents using any of the following methods:

• Email: servicio.reclamaciones@cosvi.com (only PDF format documents will be accepted)
• Postal mail: P.O. Box 366267 San Juan, PR 00936-6267
• Fax: 787-200-2574
• Physical delivery: Feel free to visit any of our offices to personally deliver the documents.