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Making a claim

6.01 How to make a claim

Your claim form is important as it gives us the information that we need to process your claim. If it is not fully completed we may have to ask for more information. This can delay payment of your claim.

You must complete a new claim form:

for each member
for each condition
for each in-patient or day-case stay, and
if a condition continues over three months, we will ask for a further claim form to be completed.

What to send us

You need to return the completed form to us by post, with the original invoices, as soon as possible. This must be within three months of receiving the treatment for which you are claiming. Invoices sent to us after three months will not normally be paid.

Requests for further information

We may need to ask you for further information to support your claim. If we do, you must provide this.

Examples of things we might ask for include:

medical reports and other information about the treatment for which you are claiming
the results of any medical examination performed at our expense by an independent medical practitioner appointed by us
written confirmation from you as to whether you think you can recover the costs you are claiming from another person or insurance company.

If you do not provide the information that we ask for, we may not pay your claim in full.

Important

When making a claim please note:

you must have received the treatment while covered under your membership
payment of your claim will be under the terms of your membership and up to the benefit levels shown, that apply to you at the time you receive the treatment
we will only pay for treatment costs actually incurred by you, not deposits or advance invoices
we will only pay for treatment costs that are reasonable and customary
we do not return original documents such as invoices or letters. However, we will be pleased to return certified copies if you ask us when you submit your claim.

Confirmation of your claim

We will always send confirmation of how we have dealt with a claim to the principal member.

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Talk to us about your options

Call us today on: 21 342 342

We are here for you Monday to Friday 8am to 5pm.

Get in touch via email

Contact our client assistance team with your query or request a callback from one of our health insurance specialists.

Get started with your new Bupa Health Plan:

Get a free quote

Documents & downloads:

Membership Guides

Private Hospital Plan Membership Guide

Private Clinic Plan Membership Guide

International Plan Membership Guide

Forms

Application Form

Claim Form

Hospital / Specialists Direct Credit Form

Individual Direct Credit Form

Renew your insurance policy online

Bank of Valletta

HSBC (Malta)

LIFESTAR HEALTH LIMITED

LifeStar Health Limited acts as an insurance agent for Bupa Global Designated Activity Company (Bupa Global DAC), which has passported its services through the European Passport Rights for Insurance and Reinsurance Undertakings. LifeStar Health Limited is enrolledid as an insurance agent under the Insurance Distribution Act, Cap 487 of the Laws of Malta and is regulated by the Malta Financial Services Authority of Notabile Road, Attard BKR 3000, Malta and subject to limited regulation by the Central Bank of Ireland.