Invoices must be submitted no later than 60 days from the date of treatment. It is at our discretion whether or not to accept liability for payment of invoices received beyond that time.
We pay providers directly for all appropriate and eligible services which are in line with the terms and conditions of cover. Please note that some benefits may not be covered by us, either partly or in full, for example, if there is a deductible/excess or co-payment in place, if a benefit limit has been reached or if the treatment is excluded under policy terms and conditions. In these situations, it is the Medical Provider’s responsibility to collect payment directly from the patient and it is recommended that hospitals obtain a credit card from the patient to cover any such costs.
You can verify details of the cover available by calling our Helpline or by logging onto Online Services (login required).
