Elite: How do you make a claim?

Our claims procedure for Freedom Elite policies is simple:

The claims procedure will start at the time your General Practitioner refers you to a Specialist. You must tell your General Practitioner that you wish to have private treatment.

• Contact our Claims Helpline on 08703 50 40 30.
  
  

• A member of our claims team will take your details. Please have your Policy number ready when you phone. Once your membership has been confirmed you will be sent a claim form.
  
  
• Part A of the claim form should be completed by your General Practitioner, and returned to us for pre-certification.
  
  
• In some cases, it may be necessary to obtain additional medical information to enable us to confirm cover for your claim
  
  
• No benefit will be payable until such additional information has been obtained.
  
  
• Claims are authorised based on information provided. Should additional information be received or disclosed we reserve the right to re-assess your claim.
  
  
• We shall then notify you whether or not the required consultation or treatment is covered by your policy in writing.
  
  
• Once you receive confirmation, see your chosen Specialist.
  
  
• If your Specialist recommends further treatment or surgical procedure(s), Part B of your claim form should be completed by your chosen Specialist, confirming that the treatment or surgical procedure is medically necessary, and returned to us for approval.
  
  
• We shall notify you whether or not the required treatment or surgical procedure is covered by your Policy, confirmation will be in writing.
  
  
• We shall confirm and settle Reasonable and Customary charges directly to the provider.

 

Download the Claim form

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