If you can provide this information, we should be able to give you a decision quickly.
You can also register your claim by calling us on the number on your membership card or your certificate of insurance. Once your claim’s approved we’ll send you an authorisation letter. You should take this letter to your appointment to show you’re covered.
Sometimes we might need more information from your GP or specialist in writing. When we do we’ll need your consent. To make this process as quick as possible we’ll ask you to speak directly to your GP or specialist to make sure they get back to us. In some cases we’ll also need you to complete a claim form to register your claim. Once you’ve sent in your form we’ll make a decision as soon as possible and confirm in writing whether you are covered.
Step 3 Book your appointment
As soon as we've approved your claim you can book your appointment with the specialist or other healthcare provider. They'll need your claim authorisation number so that they can bill us directly for your treatment. You'll find this on the front page of your authorisation letter, so remember to take this to your first appointment so show you're covered.
You'll need to contact us again if your specialist or other healthcare provider says you need hospital treatment as an in-patient or day-patient or if you need further treatment sessions for which you are yet to receive our approval.
Step 4 Leave us to pay the bill
In most cases we’ll settle your bills direct with the healthcare provider. This means you can focus on getting better. If you have an excess on your plan you’ll have to pay this directly to your provider and we’ll let you know exactly when you need to pay this.
If you do make a payment yourself send us the proof of payment to the address below and we’ll pay you back.
Post: PruHealth Customer Services, Stirling, FK9 4UE,
Fax: 0800 015 8700
For a full list of the hospitals you have access to, visit the 'My hospitals' page when you log in to the Member Zone.