You need to obtain pre-authorisation for the following types of medical treatment.
This will ensure that we can assist you with your case, that you have access to quality care, and that your claims will be processed against the correct benefits:
You or your healthcare provider can contact us by telephone or email, using the contact details below, at least 48 hours (2 business days) before any planned admission.
In the case of an emergency hospital admission, you should ask a friend or family member to contact us for pre-authorisation, within 48 working hours of the event, to ensure that your claims are paid. Or, if it is a weekend or public holiday, they should contact us on the next working day.
We will send you an email within 48 hours (2 business days) to let you know the outcome of your request. You will receive a pre-authorisation number as part of the email when we approve a request.
You and your healthcare provider need to update us regularly on the level of care that you need and the length of the hospital stay required. Payment will be made based on the pre-authorisation and available benefits