For Student Health Center or Non Network Bill

Step 1

Download the Five Points Claim Form that applies to your case and complete the fields.

1. For the Preventative Care Claim - Vaccinations
2. For the Sickness or Prescription Claim
3. For the Accident or Injury Claim

Step 2

The claims materials that need to be submitted are as follows：

1) Completed Claim form

2) Your Insurance ID Card

3) Original itemized invoices with fees on Physician/Hospital letterhead.

Invoice must include patient’s full name, date of birth, Diagnosis (type of Illness), date of the visit, Treatment type, Physician’s charges

4) The acceptable proof of payment (credit card receipt)

Step 3

Send the claim materials via the following one method

Email: claims@fivepointsmecplan.com and CC to info@isabenefit.com 

Fax: +1.915.519.0261

Mail: 6006 N. Mesa Street – STE108, Coronado Tower El Paso, TX79912

Tips：

* If the member paid the bill, the member need to file the claims within 90 days of the date of Service to be eligible for reimbursement of covered expense. If the claim is denied, you can submit a claim appeal to the insurance company within 180 days, and the insurance company will review your claim based on your additional materials.

* The claim processing is 30 working days after submitting all the claim materials. If you have not received any notification within 30 working days, please contact customer service. We will confirm the claim progress for you and check whether there are any problems with the claim materials.

Claim/Benefits consultation or claim progress to FivePoints：

Direct: +1.915.803.4198

Email: customerservice@fivepointsmecplan.com