How to make a claim with Simplyhealth

We pride ourselves on our quick and easy claiming process, and we'll guide you through the journey. Our team review all claims and, if accepted, aim to have them paid back to you within three working days.

How a Simplyhealth plan works:

 

1. Attend your health appointment

Medical bag
 
First things first, you attend your healthcare appointment with a registered practitioner. 
 
Once you've had your appointment, pay and ask for a receipt that includes your name, practitioner's details, treatment received, date, and total cost.

2. Log in and submit your claim

 
Now you need to claim. Take a picture of your receipt, either on your phone, tablet, or using a scanner. This is so you can upload it during the claim. 
 
Log in to your Simplyhealth online portal, and go through the step-by-step process.  

3. Get the money paid to your bank account

 
Once you've submitted your claim, it comes through to our team. We'll review it, and if approved, give it the green light. 
 
Once approved, you'll have the money back in your bank account within three working days.

Log in and make a claim Register for an online account

 

What details will I need to make a claim?

 

We only ask for the details we need to process your claim.

To make your claim as quick and seamless as possible, make sure you have: 

 

  • Access to the online portal
  • The date of treatment
  • The treatment type
  • The total cost of treatment
  • And a receipt of your treatment, whether that's physical or an emailed PDF/Jpg

How to make a claim online

 

What are the steps to claiming?

 

Our online claiming process follows six steps. Once you're registered and logged in, click the Make a claim tab to get started. 

 

  1. Treatment Date - The first step is letting us know the date you had your treatment or the date your treatment started. 
  2. Claimant - The next step is selecting the claimant making the claim.
  3. Treatment - The third step has two fields. First, pick the treatment you received from the list of options, and then let us know how much the treatment or appointment cost.  
  4. Receipts - This is where we'll need proof of treatment. Upload a copy of your receipt/s from the health treatment you received. We accept the following file formats: pdf, jpg, jpeg, gif, png. 
  5. Confirmation - That's all we need. Before submitting your claim, we'll ask you to confirm all the details are correct. 
  6. Complete - The final step is to complete your claim. Once sent, our team will review the details, and if approved, you'll have the money back within three working days.  
How do I upload a picture of my receipt?

 

All claims require a digital copy of your receipt as proof of treatment. Our claiming portal has been designed to make this process as frictionless as possible, but we're always happy to help out. 

 

To make a digital copy of your receipt, you can:

 

  • Take a picture using your phone or tablet, and upload the image directly from the camera roll when prompted. 
  • Use a scanner, and upload the file from your computer when requested.

 

For receipts that have been emailed to you as an attachment, you can download the file from your email and then upload when prompted in the claiming portal.

 

Our accepted file formats are .jpg, .png, .gif, .pdf (PDFs must be less than 10mb).

 

If you have any questions on uploading images, or the portal isn't playing ball, please get in touch at [email protected]

Claiming on a prescription? 

 

For NHS prescriptions we require:

 

A receipt - Showing you've paid the charge for the NHS prescription.

 

Your details - To show that the prescription is for you (eg. a copy of the prescription slip or the prescription label).

 

For a PPC (Prescription Payment Certificate), we require evidence, which can be either a letter or an email. The dates signify the amount.

Log in to your Simplyhealth account and claim now

What needs to be on the receipt?

 

 

1. Practitioner’s details

 

Details of the practitioner and establishment should feature on the receipt. This is so we can make sure they’re one of our accepted registered practitioners.

 

2. Treatment details

 

Details of the service or treatment that you’ve received. The date you received the service or treatment. And the cost of the service or treatment, showing the balance has been paid for in full. 

 

3. Patient's details

 

Your receipt must include the full name of the person your claim is for.

Example of a receipt to claim with Simplyhealth

Not comfortable claiming online?

 

We completely understand. We have a claims form that you can request from our contact team.

 

Send them a message with your request through the button below. You'll need to fill it in and post it back to us with your receipt.

 

Please note that this will be a longer approvals process.

Request a claims form

Some of our FAQs

 

How do I change my details?

If your contact details have changed, let us know so we can update our records. Due to the Data Protection Legislation, we are only able to make changes to just your plan.

The quickest way to update your details is through an online account. If you’re not registered for one yet, you can register here.

Want to talk to us instead? You’re welcome to call 0370 908 3481 or Livechat with our Customer Service team, who’ll be happy to make the necessary changes.

Can I add my children?

For an additional premium, you can add up to four children under the age of 18. This can differ depending on your plan, so it is important to check your terms and conditions.

When each child turns 18 they can no longer be covered under your plan. They’re more than welcome to then take out their own plan, so they’re always covered.

How do I remove people from my plan?

You can remove someone from your plan at any time unless specified in your policy. All our policies are different, so it's vital that you refer to your policy document. This document will provide clarity on what is and isn't covered.

If you have any questions, please contact our customer services team on 0370 908 3481.

How do I change my level of cover?

Once you’ve got your plan, you might decide to up or downgrade your level of cover to make it more suitable for you.

It’s worth mentioning you’ll need to stay on the new level for 12 months before changing your level of cover again.

Can I add another adult?

For an additional premium, you can add your spouse or partner as long as they live with you.

You will need to check your benefit table to see if your plan allows this.

Can I make a claim offline?

We do encourage the use of our Online Self Service due to the ease, speed, and reliability. But if you’d prefer to make a postal claim, please call our Customer Services team on 0370 908 3481 to request the relevant claim form.

 

Send your claims to:

Simplyhealth, Customer Services, Alan Child House, Borden Gates, Andover, Hampshire, SP10 2RT

Can't find what you're looking for?


Not a problem. Our team will help.

Fill in our contact form, get in touch via social, or give our customer service team a call on:

0370 908 3481

Mon to Fri: 8am to 8pm

Sat: 9am to 3pm

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