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Many private medical insurance policies will require you
to initially pay for the cost of your treatment. Following
this, you will be reimbursed, possible subject to a maximum
limit for claims in any year or different limits for different
types of treatment.
If treatment is needed, contact your insurer's client service
department, who will quickly guide you with advice and support
for claim administration, which hospitals are to be used,
specialist help etc.
Some insurers pre-authorise all claims so that you do not
have to pay doctors and hospital bills but leave all settlement
to the insurance company itself. If companies do not pre-authorise,
then original bills will be requested with a claim form submission.
Most insurance providers will send a client pack, with Insurance
Certificate, Claims Forms and Help line Card, with a range
of contact numbers. Many insurers now pre-authorise any in-patient
treatment, meaning that you must contact their help lines
before seeking treatment and incurring costs. Out-patient
costs are usually dealt by routine Claim Forms (i.e. you pay
first). If in doubt always call the help lines before seeking
treatment and committing yourself to costs.
Normally it takes around ten working days from the date
the insurer receives all the necessary documents.
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