Get Medicash Claim Form

Filling out the Medicash Claim Form online can streamline the process of submitting your claims and ensure timely reimbursement. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your Medicash Claim Form.

1. Press the ‘Get Form’ button to obtain the form and open it in the relevant editor.
2. Begin by providing your policyholder details in Part 1. Fill in your Medicash Policy Number, address, title, surname, forename(s), daytime telephone number, date of birth, and email address. Ensure that all information is accurate and clearly presented.
3. In Part 2, indicate the type of claims you are submitting. Place a cross (X) in the appropriate box for the claimant and the corresponding benefit you are claiming for. If you are claiming for multiple expenses, complete a separate line for each receipt, up to four receipts per claim form. Remember to include all original receipts and ensure they itemize the date and cost.
4. For Private Medical Insurance Excess Fees claims, complete Part 3 by indicating whether payment has been made to the practitioner and provide their details if you want the payment directed to them. Remember to enclose a copy of your PMI statement.
5. Complete Part 4 if your claim is for hospital inpatient or daycase treatment. This section must be filled out by the ward clerk and includes patient details, treatment dates, and verification from the hospital. Ensure to obtain the necessary signatures and stamp from the hospital.
6. Finally, review your entire form for accuracy. Sign and date the declaration at the bottom of the form. Once you are satisfied that all sections are complete, you can save your changes, download the form, print it, or share it as necessary.

Submit your Medicash Claim Form online and ensure you complete all sections accurately to prevent delays.