Beneva does not publish blank attending physician statements for individual critical illness, accident-sickness or disability insurance. A claim starts with a short online request, a call to Customer Service or the patient's advisor; Beneva then opens a file, and its claims team contacts the claimant and explains which forms to fill out and return, including any physician statement.
The attending physician completes whatever medical statement Beneva sends once the claim file is opened. The insured person, or someone acting for them, fills out the online request with identification, the claim type, the policy number and a brief description of the need.
Download the current version from the source each time; forms change without notice.
Making a critical illness, accident-sickness or disability claim
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Beneva does not post a blank physician statement for individual critical illness, accident-sickness or disability claims. The insured person first submits Beneva's online request, or calls Customer Service or their advisor; Beneva opens a file and its claims team explains which forms must be filled out and returned.
It asks who the request is for, the insured person's name and date of birth, contact details, the relationship of anyone filing for someone else, the claim type (critical illness, accident-sickness, or disability), the policy number and a brief description of the need. Beneva then gets in touch as soon as possible.
No. Beneva's life and health claims page directs people whose coverage is through an employer, union or association to its group insurance claims page. The online request and advisor route described here apply to individual critical illness, accident-sickness and disability policies.