*Pre-approval of Claims

All  potential claims for 15k and over – Must be submitted to the  Healthcare99 Administrator – Gallagher Bassett for pre-approval prior to your procedure.

We can pay the provider directly on your behalf if pre-approved, for all Surgical Benefits, Care Benefits & Major Diagnostics. This does not include Specialists or Tests as outlined in the Policy Wordings.

• Complete pre-approval claim form PH 01
• Provide the GP referral or Specialist report confirming the details of your symptoms/condition
• Provide the Estimate of Costs from the Hospital, Surgeon & Anaesthetist & any other proposed costs
• Submit the above documentation to the claims team
• Please allow 5 working days for assessment
• Please DO NOT send original documents as these will not be returned to you.

*Please note only claims over $500.00 can be pre-approved.

Failure to provide the above information may result in delays with your claims assessment.