Making a claim

We've experienced some technical issues with our forms in this area. If you've submitted a claim or cancellation in recent weeks and haven't heard from us, please accept our sincere apologies. You can resubmit your form here or call 0800 542 5930

In order for us to set up a claim and send you a claim form we require some simple information from you. Please complete the below form.

Alternatively you can call our Customer Relations Team on 0800 542 5930

* denotes required field

Full Name

Address

Postcode

Email address

Date of Birth

Policy Number (if known)

Is the claim for you or someone else covered by our Plan(s)?

By giving us information about someone else you are confirming to us that you have their permission to do so

Was your appointment an outpatient or an overnight stay?

Date of Attendance

Number of Nights

Name of Hospital

Reason for visit

How would you like to receive your claim form?

Please confirm you are happy for us to use the information you have provided to set up your claim.

Personal Group
John Ormond House, 899 Silbury Blvd,
Milton Keynes, MK9 3XL
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