Here you can watch helpful videos that guide you through the claims process and find what details you need to submit with your claim.
Watch our short video on how to make a claim from your computer.
We have also created a short 'how to guide' to help you if you're trying to make a claim on your phone.
First things first, get yourself set up with an online account or download the SimplyPlan app so you can claim anytime, anywhere.
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.
Take a photo of your appointment receipt, either on your phone, tablet, or using a scanner. This is so you can upload a photo of your receipt during the claim.
Log in to your Simplyhealth portal online or open the SimplyPlan app, and follow the step-by-step process. You will be prompted with next steps at each stage making it really easy to follow.
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 your claim has been approved, you’ll receive a payment directly to your chosen bank account or building society account.
To make your claim as quick and seamless as possible, make sure you have:
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.
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.
Here are a few frequently asked questions around claiming, if you can't find the answer you're looking for, see our full list of 'How to claim' FAQs.
You can start claiming straight away, for treatment had on or after your start date. This is subject to any relevant qualifying periods, or exclusions.
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, you'll need to fill in a claim form and post it back to us with your appointment receipt.
Requesting a claim form is quick and simple via our online form or via live chat.
Send your claims to: Simplyhealth, Customer Services, Alan Child House, Borden Gates, Andover, Hampshire, SP10 2RT
You can use a form with incorrect details. We mostly need your policy number and the barcode to be clearly visible.
Be sure to update your details when possible. You can do so through your online account, or by contacting us.
All claims require a digital copy of your receipt as proof of treatment. Our claiming portal has been designed to make this process as seamless as possible, but we're always happy to help out.
To make a digital copy of your receipt, you can:
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 standard .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 or start a live chat.
Once received, we aim to process claims as quickly as possible. However, if information is missing from the claim form or receipt, this can take longer to process. And we may ask you for additional info.
Once approved, claim payments will typically reach your bank account within 10 working days. This is allowing us suitable time to assess and process your claim alongside the three working days it takes most banks to pay the funds into your account.
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