*Pre-approval of Claims
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.