Medical Plan Claims Information

how to make claims

 

If you do need to make a claim, you can rely on us to act promptly, with friendly, polite service – no complicated forms and no unnecessary delays.

Claims must be submitted using one of our claims forms. You can download a claim form from the useful documents or telephone us on 0800 988 2129†.

All claims, with the exception of Personal Accident and Fracture Cover, must be submitted within 13 weeks of the date on the receipt. Your original receipt must show your full name and address details. Photocopies, faxes, credit card vouchers and till receipts are not accepted.

Claims for Fracture Cover and Personal Accident cover must be submitted within 13 weeks of incident.

Claims will not be paid;

  • if not accompanied by a fully completed claims form and receipt
  • for treatment carried out during the waiting period
  • for pre-existing conditions
  • for any treatment required as a result of your taking part in any professional sport, hazardous pursuits, or for self-inflicted injuries
  • for items detailed under exclusions

Any receipts which have been altered will be rejected and fraudulent claims will result in immediate withdrawal of membership.

how we pay your health cash plan claim

We will pay the claim to you by cheque.

Click here to download a claim form.

If there’s anything else you need, please call our Customer Services Team on 0800 988 2128† – they will be pleased to help you.

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