Medical insurance - New claim

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Based on resolver’s experience to date, making a new claim on your health insurance is relatively simple. If your GP refers you to a specialist, mention that you have medical insurance. Before you see the specialist, contact your insurer to register your new claim. Contact your insurer in the usual way (either by telephone or online if you have an internet-based account) and they will be able to assist you in making the claim.

Keep hold of any paperwork you may receive as you will need this to assist your claim. If you have any queries regarding your claim (e.g. as to whether a certain form of treatment is covered or not), resolver recommends that you submit your concern in writing, and resolver can assist you in submitting, recording and reminding you when and who to escalate to.

Resolver can help you resolve this issue quickly, free of charge and without the hassle. We can also help you with the next step of writing your complaint. Click on the link below to create your email.
You should know
  • If you’re making a complaint about making an insurance claim rather than a mis-sold policy, check your documents to see who the “underwriter” is. You’ll need to make a complaint to that organisation.

If you cannot resolve your issue you cannot raise your case to the Ombudsman until 8 weeks after you have first raised your complaint with your provider, or you have received a ‘letter of deadlock’ from the company stating that they cannot resolve the issue as you have asked. Your complaint must also not be older than 9 months. For an accurate decision by the Ombudsman you should provide a detailed file of your communications and supporting documentation. In addition make sure you explain what you want as an outcome as this will help assess your case.

 

 

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