Making a claim

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

Are you claiming against a (tick all that apply):

Hospital plan

Convalescence plan

Death benefit plan

Date of Attendance

Number of Nights

Name of Hospital

Please list medical condition

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
View map

Designed and built by Redwing Interactive

Making a claim : Personal Group