You shouldn’t need to claim for Medical Insurance. Provided you are using Prime Cure Network Providers, claims are paid directly to the provider on your behalf through your Policy. In most cases, you will need to present your physical or digital membership card and ID to the Prime Cure Network provider and they will submit the claim directly to us for processing and payment. To prevent claims from not being paid, first check that you have obtained the necessary Pre-authorisation for the visit, that you have gone to a Prime Cure Network provider as well as to make sure you haven’t already exceeded any Benefit limits on your Policy for the year. Some claims are not automatically paid to the treating provider. This includes:
Specialist visits (when applicable, depending on your chosen plan)
When you visit a non-Network Provider
If your provider insists you pay in cash
You can fill out a reimbursement form within 6 months from the date of Treatment to claim for the service, subject to the available Benefits and limits on your chosen plan.