Applications and how to apply

Medicus Insurance is available through a small group of the very best insurance agents in the United States.
•To find an agent near you, e-mail us or call (866) 815-2023 ext. 5.
To download the Medicus physician/surgeon full application, click here and then either submit it via e-mail or fax. Please see the application for instructions.
Physicians and surgeons quick form
To download our quick 2-page form, click here. You must also include a credentialing application when you submit this form via e-mail or fax.
Corporate application
To download the Medicus corporate application, click here and then either submit it via e-mail or fax. Please see the application for instructions.
Ancillary application
To download the Medicus ancillary application, click here and then either submit it via e-mail or fax. Please see the application for instructions.
Phone: (866) 815-2023
Fax: (877) 686-0558
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•To request a premium indication directly, email:
underwriting@medicusins.com.
You may obtain a premium indication by submitting a competitor’s application that has been filled out in the past 13 months.
•To learn how to renew your policy, click here.




