Making a claim - Healthcare

Medical Claims Process

If have decided that you would like to receive your treatment privately, and know the consultant that you wish to use, you should ask your GP for a patient referral letter. This is to enable the private consultant to familiarise themselves with your case history.  Once you have the referral letter from your GP you should contact us to make us aware of your chosen consultants details and to check that the treatment is covered.

Step 1

All claims must start with a GP referral. If your GP recommends a referral, explain that you have private medical cover and ask for the name of a private medical consultant or treatment provider.

Step 2

Contact our specialist medical claims team on 0808 168 2912 before making any appointments. Our team will confirm that your condition is covered by the policy and will ask you for the consultant’s details in order to arrange payment.

Please have your personal reference number to hand when calling. This number can usually be found in the top right hand corner of any correspondence you have received from us.

Step 3
You will need to complete a medical consent form to allow us access to your medical records. We will send this to you, along with a pre-paid envelope for you to return to us at your earliest convenience. Alternatively you can download a form here.

Step 4

Our claims team will keep you informed every step of the way, from booking your first appointment through to managing any follow up treatment. We will settle the medical and hospital bills covered under your policy.  

 

Dental & Optical Claims Process

After holding your policy for 6 months, you are eligible to make dental or optical claims.

Step 1

Check that the treatment required is covered by the policy – you will find this information in the Your Policy Explained booklet which you would receive in your welcome pack, or you can check by calling the Dental & Optical claims team on 0808 168 2912.

Step 2

Once you have confirmed that your claim will be covered, you should go ahead with your treatment and pay any invoices you receive. As the society does not settle dental and optical claims directly to the treatment providers, be sure you have a receipt for the payment of your treatment as you will need this to claim the money back from us.

Step 3

Download a dental or optical claim form here: Alternatively contact our claims team who will be happy to post one out to you. Once completed, return the claim form along with the receipt for your treatment to our Bristol office and our claims team will reimburse you for the cost incurred. This will usually be paid by BACS directly into the account that you pay your premiums from, unless you specify an alternative account. Usually this process will take no longer than 5 working days.

 

NHS Stay Claims

If you have stayed overnight in an NHS hospital, provided you have not been admitted through accident and emergency, you can claim a cash payment for your stay.

Step 1

You should confirm that your claim will be covered by speaking to our claims team on 0808 168 2912. Please have your personal reference number to hand when calling. This number can usually be found in the top right hand corner of any correspondence you have received from us.

Step 2

Once the claims team has confirmed your claim will be covered, you must forward your hospital form to us in order for us to arrange payment. This will normally take no longer than 5 working days.

 

FAQs

Q. Is there a list if approved hospitals for treatment?
A. No. With our plan, you have an unrestricted choice of all UK hospitals and treatment locations – as well as the option to use the NHS.

Q. How can I be sure what I’m covered for?
A. You can see what your policy will cover in the Your Policy Explained booklet, which you receive when you take out a policy. If you are still unsure, you can contact our claims team on 0808 168 2912 for confirmation if your condition is covered.

Q. Am I covered for cancer treatment?
A. Yes, at National Friendly, we won’t treat cancer like other potentially chronic conditions. In general, we will pay towards any treatment you receive, from your diagnosis until remission or a cure is reached.

Q. What happens if I have my treatment on the NHS?
A. If you have opted to use the NHS for your treatment, you can claim a cash payment for overnight stays of up to 10 nights each year.