Expacare
Expacare

Making a claim

Reimbursement Claims

If you have paid for treatment and wish to make a claim under your policy, it is essential that the correct process is followed.

In order to ensure the smooth processing of your claim, we must receive:

  • A completed claim form
    This can be downloaded here and must be fully completed. Please ensure that you have signed it AND that the treating doctor/dentist has fully completed and signed it.
  • Original invoices / receipts
    If original invoices and receipts are not provided, your claim will be declined.
  • Notification of Payment Details
    Please ensure that it is clearly indicated on the claim form how you wish to receive payment (see below) and who should receive the payment. If there is any doubt about who to pay, we will always reimburse the policyholder.
  • Prescription Drugs
    If the claim is in respect of prescription drugs, a copy of the prescription should be provided. Alternatively the doctor must specify the drugs prescribed on the claim form and a receipt for the prescription can be provided.
  • Hospital Cash Benefit
    If the claim is in respect of Hospital Cash Benefit, a certificate confirming the inpatient treatment, the diagnosis, the date of admission and the date of discharge will be required.

Claims must be submitted within 6 months of the start of your treatment. Claims submitted later than 6 months following the start of treatment will not be paid.

Pre-Authorisation

Pre-authorisation must be obtained to receive benefit for the following services:

  • Emergency Medical Evacuation
  • Hospital treatment as an in-patient 
  • All maternity care
  • Hospice care
  • Psychiatric treatment
  • Rehabilitation for alcohol and drug addiction
  • Cancer treatment
  • Repatriation of mortal remains or local burial costs 
  • Over seven sessions of Physiotherapy
  • Rehabilitation as an alternative to acute care

You should inform us at least 5 days before admission. In an emergency you (or someone acting for you) should notify us within 24 hours of hospital admission. We will decline part of your claim if we have not pre-authorised these benefits.

If you require in-patient treatment, we may be able to settle the costs directly with the hospital. This would normally involve our providing a 'guarantee of payment' to the hospital which the hospital accepts. This may not always be possible.

Payment Options

Expacare prefer to make all payments by bank transfer as this is the most secure payment method as well as being more cost effective.

In order to effect a bank transfer it is essential that you provide us with the full information:

Name of account holder
Account number
Sort Code (for UK banks only)
Swift Code (for ALL banks)
IBAN Number (for European banks)
Bank Name
Branch Name
Bank Address

Failure to provide the full information may result in the payment of your claim being delayed.

Cheque payments can be made upon request but we must be in receipt of the full name and address of the payee.

We will normally reimburse invoices in the same currency. However, we can reimburse invoices in currencies other than the invoice currency. The preferred currency for payment should be specified on the claim form.

Middle East Plans

If you have purchased a Middle East plan, you will be eligible to take advantage of a local claims handling service through our partner, MedNet UAE.

Please note this is a network for cashless services and that the use of facilities that appear on these networks are still subject to our reasonable and customary costs rules set out in the Membership Guide and in the Your Guide To Making a Claim document.

The current Network Provider listing can be accessed by clicking the relevant link:

Indonesian Plans

If you have purchased an Indonesia plan, you will be able to take advantage of local claims handling via Medilum and our Assistance company Global Assistance and Healthcare.

Contact Details

Claims Department
Expacare Limited
Dubai Internet City
PO Box 500259
Dubai
United Arab Emirates

Within UAE (toll free) : 800 EXPA / 800 3972

Overseas Calls (collect) : +971 4 3900749

Email:

expacareclaims@mednet-uae.com

For policies issued in the Middle East.

The business source on your Membership Card will be LG, LM, NK, VG or VM and the MedNet logo will appear on the reverse of your Membership Card.

Claims Department

PT.JLT GESA (Medilum)

Antam Office Park Tower B, 3rd Floor

Jl Let Jend TB. Simatupang No. 1

Jakarta Selatan, 12530

Phone: +62 21 2997 6300
Fax: +62 21 2963 4888
Email: expacare@medilum.com

For policies issued in Indonesia.

The business source on your certificate and membership care will be NG or NH and the membership card will display the Global Assistance and Healthcare logo.

Claims Department
Expacare Limited
Columbia Centre
Station Road
Bracknell
Berkshire
RG12 1LP
United Kingdom

Telephone: +44 (0) 1344 353900
Facsimile: +44 (0) 1344 353901
Email: claims@expacare.com

For all other policies.

Emergency 24 hour assistance

+ 44 (0) 1344 353999

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