Claims & Help
Information on this page is for 2024 coverage. Refer to the 2025 Open Enrollment page for 2025 coverage details.
File a Claim
Claims are filed directly with Prudential. To submit a claim online:
- Log in to prudential.com/mybenefits. First-time users will need to select Register Now and enter the control number 97000.
- Select Claims & Absence and then File a Voluntary claim.
- To begin your claim, you will need to tell Prudential what happened and when, tell Prudential who provided the treatment, and give Prudential permission to get information from your doctor.
- Claims for benefits should be filed within 20 days of a critical illness diagnosis or hospitalization, and within 90 days of a covered accident.
If you have questions or need help filing a claim, call Prudential at (855) 483-1438, 8 a.m.–6 p.m. Monday–Friday, Pacific.
Appeals
If your claim for benefits is denied, you have the right to file an appeal with Prudential. Appeals must be submitted in writing (free-form letter) to: Appeals Review Unit, The Prudential Insurance Company of America, P.O. Box 71330, Philadelphia, PA 19176-1330, within 180 days of the notice of denial. Include additional medical documentation and other pertinent information you would like considered.
Get Help
If you have questions or need help filing a claim, call Prudential customer service toll-free at (855) 483-1438, 8 a.m.–6 p.m. Monday–Friday, Pacific.