For policies that began or renewed after 1 December 2011
Your Guide to
Making a Claim
When you need to make a claim, we want to make sure that the process is kept as simple and stress free as possible for you. Therefore, prior to seeing your doctor or starting any treatment, please follow the steps shown below to help ensure that your claim is settled quickly.
In the event of a planned admission to a hospital, it is important that you obtain pre-authorisation from us prior to your admission, as failure to do so could result in your claim being declined. If your treatment is subsequently proven to be covered under the terms and conditions of your policy, we will only pay 50% of the eligible benefits.
4 .... simple steps
When you need to make a claim with ALC Health, there are a few simple steps to follow.
Before you visit your doctor or specialist, give us a call. We’ll confirm how much you are able to claim and what your next steps should be.
24/7 claims + 44 (0)1892 504234
There may be times when we need more detailed information in order to establish that your policy with ALC Health provides you with cover for the treatment you will receiving.
24/7 claims + 44 (0)1892 504234
On these occasions, we’ll send you a Medical Information Form to help us determine the history of the condition you are claiming for.
You will need to complete part of the form and then pass it to your medical practitioner for them to complete their section and return it to us.
If you require emergency medical care and immediate admission to hospital, our specialist team are there to support you. You can contact them on + 44 (0)1892 504234 or you can ask someone to call them on your behalf. If possible, please make sure that when you are admitted to hospital, you give them your membership card as this will help us to deal with them directly.
Once we have confirmed that your claim is eligible under your policy, you should start your treatment. Your doctor or hospital will send any invoices to us for payment. Once we have received your bills, we will arrange direct payment to them and will also send you a statement to confirm that this has been done.In some circumstances you may need to pay for treatment directly. In these cases, please forward your paid accounts direct to us and we will send the payment (and statement) to you instead.
If you need further treatment, please call us first. We’ll confirm whether your treatment is covered and what happens next.
Download your 'Guide to Making a Claim' here
