Claims Made Easy

Claims Made *Easy*

We understand that seeking treatment can be stressful. Follow the steps below so we can look after the details – and you can concentrate on getting better.Contents

Which treatment *are you getting?*

Talk to us, *we love to help!*

Need treatment?

First, check if your plan covers the treatment you need:

Refer to your Table of Benefits

Check if your treatment is subject to pre-authorisation*

If you’re unsure or need assistance, please call our Helpline.

*Some treatments (mostly in-patient or high-cost treatments) require pre-authorisation. This process helps us:
•    Assess your case.
•    Coordinate with the medical provider before your arrival.
•    Simplify direct payment of your medical bill, where possible.

Treatments requiring pre-authorisation are marked in your Table of Benefits. Please visit our dedicated page here.

We recommend that you use the medical provider network for your treatments, as it gives you the following advantages:

If your treatment requires pre-authorisation, your network medical provider may be able to request this on your behalf.
You will be able to access direct settlement for most treatments.