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 Optical Continuing Supply Scheme payments, Personal
Accident and Fracture Cover, must be submitted within 13 weeks of the date on the
receipt.
Claims for Optical Supply Scheme payments must be submitted within 6 months of the
prescription date.
Claims for Fracture Cover and Personal Accident cover must be submitted within 13
weeks of the date of the receipt. Your original receipt must be sent with your claims
form and will be retained by us. The original receipt must show your full name and
address details. Photocopies, faxes, credit card vouchers and till receipts are
not accepted.
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
Payments are paid directly to the policy holder’s nominated bank account. Alternatively,
we may pay the claim to you by cheque.