How to Claim for In-patient Treatent

PLANNED IN-PATIENT & DAY-PATIENT TREATMENT
In the event of a planned admission to a hospital, you are required to obtain pre-authorisation prior to admission. If planned in-patient or day-patient treatment is not pre-authorised, we reserve the right to decline your claim. If the respective treatment is subsequently proven to be covered under the terms and conditions of your policy, we will only pay 50% of the eligible benefits.

To help us process the direct settlement of your medical expenses in a timely manner, please follow the guidelines below. If you have any questions, please contact our helpline on +353 1 629 7140.

You are requested to contact our Medical Services Department at least FIVE working days prior to admission. This will allow us to arrange the preauthorisation of your treatment and will also ensure a smooth admission process. 

Please send a fully completed Treatment Request Form at least FIVE days prior to treatment ensuring that your Medical Provider and Doctor complete all questions in sections 4 and 5, by:

Failure to complete this form fully will delay our ability to authorise your treatment as we may have to revert to you or the medical provider for further information. The Treatment Request Form can be downloaded from this website.

EMERGENCY ADMISSIONS
While pre-authorisation is not required in advance of emergency treatment, we should be informed within 48 hours of the event to ensure that no pre-authorisation penalty is applied. This will give us the opportunity to arrange the direct settlement of your hospital bills, where possible, and will ensure that your claim can be processed without any delays. Please note that our Helpline can accept Treatment Requests over the phone if treatment is due to take place within 72 hours. Please have as many details as possible ready to give over the phone, including the contact details of your doctor.