Support for your health insurance claims

Making a claim for treatment on your health insurance policy can be stressful, especially with some insurers that have insufficient help centre resource to handle claims in an acceptable or timely manner.

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For advice on your health insurance policy call

01242 350071

Claiming on your health insurance policy

We know there are times where clients have had to wait on hold for several hours before managing to get through. That’s why at Clarity Health Insurance we set up a specialist team, dedicated to providing support with claims. It’s also a completely free service to both our own clients and even those who do not have a policy with us. We’re happy help at the time when you really need it.

Making a claim via Clarity Health Insurance

We work with you, the policy holder, and the insurer directly to get claims authorised and resolved quickly. Your dedicated adviser will assist you in whatever way they can to arrange and execute the claim based on your requirements. Not only that, but your adviser can provide you with expert advice about your claim and the terms and conditions of your policy.

You can trust us to treat you and your claim correctly because it’s in our best interest to do so. We heavily rely on our solid reputation whereby we always put our clients first, and we want to give you every reason to use us again when your renewal comes up.

So you can rest assured that your claim is being handled properly whilst you focus on recovering and getting back on your feet. After all, you’ve paid your premium and deserve the service promised to you when you need it.

Our claims process

Step 1:

The first step is to get in contact with us by either submitting a quick online advice form (select ‘Claims assistance’ in the cover option drop-down menu), or call 01242 350071.

Step 2:

One of our claim specialists will then discuss with you the details of your claim. Of course we will need all relevant information and documentation that supports your claim to enable the insurer to assess – it’s no problem if you are unsure about what’s required as your adviser can help with that.

Step 3:

Your claims specialist will then relay the details about your claim to the insurer during one of our pre-arranged calls.

Step 4:

If the insurer accepts your claim then they will issue you with an authorisation code. Any further treatment or consultation needed will then be your responsibility to update them on, or again you can ask your adviser for further assistance.

Additional assistance

In some cases, where claims are more complicated, your GP or a medical professional may be required to complete forms. Any charges associated in such cases, Clarity Health Insurance will not be accountable or contribute to these costs.

Timescales for claims

We aim for a turnaround of 2 working days to allow our claims specialist to get your information relayed to the health insurer’s claim department. This does not mean that we guarantee an authorisation in 2 working days. Timescales vary depending on several factors, including but not limited to:

  • Condition
  • Documentation
  • Insurer timescales

We cannot be held responsible for the level of service provided by the insurers directly, including any delays in the processing of your claim. However, we will try to mitigate this wherever possible. We always advise calling directly through to the insurers claims team if your claim is urgent in nature.

Exceptions

Clarity Health Insurance reserve the right to refuse claims support if there is reason to suspect the nature of the claim. This could be (but not limited to) anyone acting or suspected to be fraudulent.