How to make a claim on your policy

We want to make sure that when you need to make a claim against your policy, the process is as smooth as possible, so in order to ensure that you receive the best possible service from ALC healthcare, please follow the guidelines outlined below in the event of treatment being required by you or one of your Dependants.

Please read these carefully and in conjunction with the other sections of your policy wording

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.

Claims Forms

You can download the Claim Forms from this website either from the side bar to the left or from the Claims Download Page.  On the front of the Claim Forms and the back of your membership card is the telephone number and address of our claims team.

All claims should be submitted to us with a fully completed Claim Form, original invoices and receipts and all other supporting documentation within six months after the end of the period of cover.  If claiming under the Cash Benefit, please ensure you submit a fully completed Claim Form together with a discharge form from the hospital which confirms your length of stay.  Before you make a claim, it is important to ensure that your policy covers the treatment you are seeking (e.g. out-patient, pregnancy,dental etc.).

Our Helpline staff are happy to assist with any queries you may have. (See contact details or your Claim Form or membership card.)
Planned In-patient Treatment Emergency Treatment Out-patient Treatment
Pregnancy & Childbirth Dental Treatment Optical Treatment
       Claim Forms Contact Claims Department