How to make a claim
Our step-by-step guide on making a claim and what to expect when contacting us.
Visit your GP
Call our claims team
Send us your medical history
Commence treatment and keep us updated
Your first step is to arrange to see your GP who will refer you on to a specialist if appropriate.
Once you have a referral in place, give us a call. We will have a chat with you about your medical condition; we may be able to approve your treatment over the phone, but may also need to request medical information from your GP in order to assess the eligibility of your claim first. We’ll be able to confirm this when we speak to you.
We may need to know about your medical history regarding the condition you are claiming for.
If a medical information form is required, once this has been sent to us by your GP, we will review the information and contact you with an update.
Once your claim is agreed, you can then go ahead with your treatment. We just ask that you keep us up to date with the progress of your care, so we are able to confirm any additional treatment will be covered in full.
If you have treatment at a hospital or day-patient unit that’s not in the hospital list, we will only pay 60% of the charges from that hospital or day-patient unit as long as they charge up to the normal rates published and charged by that hospital or day-patient unit. You will be responsible for paying the remaining charges.