State University of New York Medical Reimbursement Form - www2 binghamton 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Patient Information' section. Enter the family name, given name, and ensure you provide the insured information as per your ID card.
  3. In the 'Medical Information' section, describe your accident or sickness clearly. If applicable, indicate if it was a result of a motor vehicle accident or sports participation.
  4. Complete the 'Payment Information' section by selecting your preferred payment method. Ensure all details are accurate to avoid delays.
  5. Finally, review all entries for accuracy and sign the form in the designated area before submitting it along with any required documentation.

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The best public university in the Northeast Binghamton University is a world-class institution that offers students a broad, interdisciplinary education with an international perspective and one of the most vibrant research programs in the nation. best value college in N.Y.
Binghamton University maintains its status as an R1 institution for its prolific research activity, according to a new list from the Carnegie Classification of Institutions of Higher Education.
Binghamton University has built a reputation as a premier institution, renowned as one of the top public research universities in the U.S. for its talent, facilities, partnerships and research opportunities.

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Main contacts For general information about Binghamton University, email info@binghamton.edu or call the University Information Center at 607-777-2000.
Binghamton University ranked one of the nations top public universities year after year.
Students Health/Accident/ Medical Evacuation/RepatriationDatesCost Annual 8/15/2025-8/14/2026 $2164.37 Fall 8/15/2025-1/14/2026 $906.45 Spring/Summer 1/15/2026-8/14/2026 $1257.92 Monthly $180.3615 more rows May 14, 2025
Binghamton University has built a reputation as a premier institution, renowned as one of the top public research universities in the U.S. for its talent, facilities, partnerships and research opportunities. We have 700 plus student research opportunities, 1,000 plus faculty members and 19 organized research centers!

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