How to Claim for In-patient Treatent 

How to Claim for In-patient & Day-patient Treatment

As soon as you are advised that you need to be admitted into hospital for medical treatment regardless of whether you need to stay in over-night or not whether or not you need an overnight stay, you will need to obtain from us prior approval (pre-authorisation) before you are admitted. Failure to obtain pre-authorisation will invalidate your cover, so it is important that you let us know as soon as possible of any scheduled treatment or medical services that you may require.

Once we have been notified of your scheduled treatment, we will aim to arrange for the direct settlement with your Hospital and Medical Specialists all eligible costs that are covered by your policy.

Within your policy document folder you will find a Medical Claim Form. When completed, please forward this along with all supporting documents to our claims team at :-

ALC healthcare claims team
18B Beckett Way
Park West Business Campus
Nangor Road
Dublin 12
Ireland

T + 353 1 629 7140
F + 353 1 630 1306
E claims@alchealth.com

For a downloadable copy of Medical Claim Form, please click here Medical Claim Form


Release of Medical Information Form

In some circumstances, you may be required to complete a Release of Medical Information Form. This should be should be forward to us as soon as possible when completed either by fax or e-mail and where unfortunately, delays in completing and returning this document may result in delays to commencing your treatment.

For a downloadable copy of Release of Medical Information Form, please click here (insert .pdf link)


Emergency Medical Evacuations

All emergency medical evacuations will be supervised by your treating doctor and our Medical Helpline and must be agreed by our Helpline before Evacuation takes place.

If You require Emergency assistance, need to arrange an emergency medical evacuation or wish to contact us out of office hours assistance please call the 24 hour Medical Helpline on +353 1629 7140


General claims information

All documents and materials (including but not limited to original accounts, certificates and x-rays) that we require to support a claim shall be provided without expense to us (including, if requested by us, a medical report from the insured person’s medical practitioner or specialist and details of the insured person’s medical history prior to any claim).

In cases where medical information is required by us for consideration of a claim but it is not available to us, it is the responsibility of the insured person to obtain such information from their current or previous medical practitioner, as appropriate. Claims may only be made for treatment actually given during a period of cover and benefit will only be available for expenditure incurred prior to expiry or termination of such cover.

An insured person must, without delay, give us written notification of any claims or right of action against any third party arising out of circumstances which gave rise to a claim under this policy and must continue to keep us fully informed in writing and take all steps reasonably required in making a claim upon that other party.

To the extent permissible under the laws of your country of residence, we shall be entitled to take legal action in any insured person’s name for our own benefit and claim for indemnity or damages or otherwise which relates to any benefits and costs paid or payable under this policy. We shall have full discretion in the conduct of any such proceedings and in the settlement of any claim.